Organization
MCEWEN DRUG
Active
Other names
Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK NEBLETT (PHARMACIST)
(931) 535-3721
Entity
Organization
Contact information
Practice address
562 BROADWAY AVE, NEW JOHNSONVILLE, TN 37134-2130
(931) 535-3721
(931) 535-3731
Mailing address
PO BOX 115, MC EWEN, TN 37101-0115
(931) 535-3721
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0000004496
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4441262
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/29/2008
Last updated
03/22/2010
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