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Organization

PHARMACARE COMPOUNDING PHARMACY, LLC

Active
Other names
Mt. Juliet Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
JAY SUTHAR (MANAGER)
(615) 758-4750
Entity
Organization

Contact information

Practice address
1097 WESTON DR, MT JULIET, TN 37122-3493
(615) 758-4750
(615) 758-4755
Mailing address
1097 WESTON DR, MT JULIET, TN 37122-3493
(615) 758-4750
(615) 758-4755

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
3598
TN
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2093142
PK
05
Q046729
TN
Enumeration date
07/08/2005
Last updated
03/11/2019
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