Organization
MIDDLE TENNESSEE STATE UNIVERSITY
Active
Organization
MIDDLE TENNESSEE STATE UNIVERSITY
Active
Other names
MTSU CAMPUS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TABITHA RAGLAND PHRMD (DIR OF PHCY)
(615) 494-8888
Entity
Organization
Contact information
Practice address
1848 BLUE RAIDER DR, MURFREESBORO, TN 37132-0001
(615) 494-8888
(615) 494-8700
Mailing address
PO BOX 235, MURFREESBORO, TN 37132-0001
(615) 494-8888
(615) 494-8700
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000004531
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2095426
PK
—
Enumeration date
06/30/2008
Last updated
02/15/2017
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