Organization
P H PHARMACY LLC
Active
Other names
P. H. Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
HUNTER HICKS (CEO)
(770) 845-9470
Entity
Organization
Contact information
Practice address
110 KEITH ST SW, STE 3, CLEVELAND, TN 37311-5868
(423) 614-6610
(888) 805-2406
Mailing address
110 KEITH ST SW, SUITE 3, CLEVELAND, TN 37311-5868
(423) 614-6610
(888) 805-2406
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PHNR000227
GA
333600000X
Pharmacy
4732
TN
3336C0003X
Community/Retail Pharmacy
Primary
PH28718
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265754030
—
TN
01
—
2123882
PK
—
Enumeration date
02/22/2010
Last updated
03/27/2017
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