Organization
WELLNESS PHARMACY MURFREESBORO LLC
Active
Other names
The Wellness Pharmacy Murfreesboro, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY BUCKNER (OWNER/PHARMD)
(615) 941-8333
Entity
Organization
Contact information
Practice address
1547 WARRIOR DRIVE, MURFREESBORO, TN 37128
(615) 941-8333
(615) 941-8336
Mailing address
2644 SEQUOYA TRCE, MURFREESBORO, TN 37127-8362
(615) 867-4181
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
4729
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4442935
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/20/2010
Last updated
01/20/2010
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