Organization
COMMUNITY PHARMACY CARE INC
Active
Parent organization
COMMUNITY PHARMACY CARE INC
Other names
Dickson Compounding Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY PHARMACY CARE INC
Authorized official
ANGELA WOOD (CHIEF OPERATING OFFICER)
(615) 375-1602
Entity
Organization
Contact information
Practice address
104 HIGHWAY 70 E, DICKSON, TN 37055-2034
(615) 446-8396
Mailing address
104 HIGHWAY 70 E, DICKSON, TN 37055-2034
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4260
STATE LICENSE
TN
Enumeration date
01/22/2019
Last updated
01/22/2019
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