Organization
CITY DRUG STORE INC
Active
Organization
CITY DRUG STORE INC
Active
Other names
CITY DRUG STORE OF HENDERSON TN INC
Organization subpart
No
Provider details
NPI number
Authorized official
DERYL STEWART (PRESIDENT)
(731) 989-2166
Entity
Organization
Contact information
Practice address
118 E MAIN ST, HENDERSON, TN 38340-2335
(731) 989-2166
(731) 989-9685
Mailing address
PO BOX 224, HENDERSON, TN 38340-0224
(731) 989-2166
(731) 989-9685
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0426
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452928
—
TN
01
—
2095494
PK
—
Enumeration date
06/21/2006
Last updated
07/08/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up