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Organization

DJB PHARMACY LLC

Active
Other names
DJB Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
ODELL GLENN (PHARMACIST)
(662) 252-8464
Entity
Organization

Contact information

Practice address
305 LAKE DR STE 1, SOMERVILLE, TN 38068-9724
(901) 235-7188
(866) 201-2293
Mailing address
305 LAKE DR, SOMERVILLE, TN 38068-9724
(901) 235-7188
(866) 201-2293

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
5950
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2167929
PK
Enumeration date
02/23/2017
Last updated
04/07/2017
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