Organization
GNR PLLC
Active
Other names
PHD Pharmacy, dba PHD
Organization subpart
No
Provider details
NPI number
Authorized official
GINA PATTERSON (OWNER/PIC)
(423) 614-6650
Entity
Organization
Contact information
Practice address
110 KEITH STREET STE . 1 SW, CLEVELAND, TN 37311
(423) 614-6650
Mailing address
P.O. BOX 5450, CLEVELAND, TN 37320
(423) 614-6650
(423) 614-6652
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
6123
TN
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/10/2018
Last updated
10/26/2023
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