Organization
STANDEFER DRUG CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL STANDEFER (OWNER)
(423) 447-2134
Entity
Organization
Contact information
Practice address
119 MAIN ST, PIKEVILLE, TN 37367-4919
(423) 447-2134
(423) 877-2111
Mailing address
119 MAIN ST, PIKEVILLE, TN 37367-4919
(423) 447-2134
(423) 877-2111
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1069
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1069
PHARMACY
TN
Enumeration date
02/10/2006
Last updated
08/22/2020
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