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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