Organization
MIDDLE TENNESSEE PHARMACY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSS SPIVEY D.P. H. (PHARMACIST IN CHARGE)
(931) 684-9987
Entity
Organization
Contact information
Practice address
336 S CANNON BLVD, SHELBYVILLE, TN 37160-3914
(931) 684-9987
(931) 684-9995
Mailing address
336 S CANNON BLVD, SHELBYVILLE, TN 37160-3914
(931) 684-9987
(931) 684-9995
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
0000004147
TN
3336S0011X
Specialty Pharmacy
0000004147
TN
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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