Organization
ANDERSON HOMETOWN PHARMACY, LLC
Active
Other names
Anderson Hometown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TARA ASHLOCK ANDERSON (PHARMACIST IN CHARGE/OWNER)
(931) 243-6337
Entity
Organization
Contact information
Practice address
151 MCARTHUR AVENUE, CELINA, TN 38551
(931) 243-6337
(931) 243-6336
Mailing address
PO BOX 88, CELINA, TN 38551-0088
(931) 243-6337
(931) 243-6336
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5550
PHARMACY LICENSE
TN
Enumeration date
04/10/2015
Last updated
07/10/2015
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