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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