Organization
INTEGRATION PARTNERS LLC
Active
Other names
Henderson Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DEARTH (OWNER/PHARMD)
(731) 695-0342
Entity
Organization
Contact information
Practice address
535 W MAIN ST, HENDERSON, TN 38340-2536
(731) 989-0077
(731) 989-0076
Mailing address
535 W MAIN ST, HENDERSON, TN 38340-2536
(731) 989-0077
(731) 989-0076
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q054737
—
TN
Enumeration date
10/21/2019
Last updated
03/10/2022
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