Organization
CUNNINGHAM DRUG CO INC.
Active
Other names
CUNNINGHAM DRUG COMPANY INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANKIE J TOLLIVER (PRESIDENT)
(865) 560-6650
Entity
Organization
Contact information
Practice address
201 N BROAD ST, NEW TAZEWELL, TN 37825-6603
(423) 626-3151
(423) 626-7384
Mailing address
PO BOX 67, NEW TAZEWELL, TN 37824-0067
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
902
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255357117
—
TN
Enumeration date
07/14/2006
Last updated
08/27/2021
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