Organization
BLUE FRONT DRUG, INC
Active
Other names
BLUE FRONT DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
JOE HERD (PIC/PRESIDENT)
(931) 967-2251
Entity
Organization
Contact information
Practice address
107 1ST AVE NW, WINCHESTER, TN 37398-1643
(931) 967-2251
(931) 967-6646
Mailing address
107 1ST AVE NW, WINCHESTER, TN 37398-1643
(931) 967-2251
(931) 967-6646
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1204
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2088179
PK
—
05
—
4412007
—
TN
05
—
9441063
—
TN
Enumeration date
10/25/2006
Last updated
01/14/2014
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