Organization
QUALITY DRUG CO INC
Active
Other names
QUALITY DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
GARY PETTIGREW DPH (OWNER)
(731) 772-2012
Entity
Organization
Contact information
Practice address
2288 N WASHINGTON AVE, BROWNSVILLE, TN 38012-1607
(731) 772-2012
(731) 772-9841
Mailing address
2288 N WASHINGTON AVE, BROWNSVILLE, TN 38012-1607
(731) 772-2012
(731) 772-9841
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
TN144
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3514775
—
TN
01
—
4404620
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/10/2006
Last updated
03/18/2010
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