Organization
FORSHEE- CARDER PHARMACY, INC
Active
Other names
Cherokee Advanced Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRADY MICHAEL CARDER RPH (VICE-PRESIDENT)
(423) 559-3013
Entity
Organization
Contact information
Practice address
1690 25TH ST NW, CLEVELAND, TN 37311-3613
(423) 559-3013
(423) 559-3007
Mailing address
1690 25TH ST NW, CLEVELAND, TN 37311-3613
(423) 559-3013
(423) 559-3007
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
2933
TN
3336L0003X
Long Term Care Pharmacy
Primary
2933
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4429684
NCPDP ID NUMBER
—
Enumeration date
02/12/2007
Last updated
08/14/2015
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