Organization
MCMINNVILLE DRUG CENTER INC
Active
Organization
MCMINNVILLE DRUG CENTER INC
Active
Other names
MCMINNVILLE DRUG CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MARSH (OWNER PHARMACIST)
(931) 473-4471
Entity
Organization
Contact information
Practice address
1500 SPARTA ST, MCMINNVILLE, TN 37110-1317
(931) 473-4471
(931) 473-2217
Mailing address
1500 SPARTA ST, MCMINNVILLE, TN 37110-1317
(931) 473-4471
(931) 473-2217
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
00000145
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3533833
—
TN
01
—
4415318
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/29/2005
Last updated
05/25/2011
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