Organization
WELLNESS PHARMACY MURFREESBORO LLC
Active
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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