Organization
WHITE BLUFF DRUG CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID WILSON POWELL DPH (PHARMACIST OWNER)
(615) 797-3362
Entity
Organization
Contact information
Practice address
4514 HWY 70 E, WHITE BLUFF, TN 37187-9219
(615) 797-3343
(615) 797-5250
Mailing address
4514 HWY 70 E, P O BOX 640, WHITE BLUFF, TN 37187-9219
(615) 797-3343
(615) 797-5250
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
3283
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770586901
NATIONAL PROVIDER NUMBER
TN
Enumeration date
03/25/2006
Last updated
08/22/2020
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