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Organization

STONES RIVER HOSPITAL

Active
Other names
CANNOU COUNTY HOSPITAL LLC
Organization subpart
No

Provider details

NPI number
Authorized official
KIM MULLEN (PHRM MANG)
(615) 563-7233
Entity
Organization

Contact information

Practice address
324 DOOLITTLE RD, WOODBURY, TN 37190-1139
(615) 563-7230
(615) 563-7234
Mailing address
324 DOOLITTLE RD, WOODBURY, TN 37190-1139

Taxonomy

Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
410
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4440195
OTHER ID NUMBER
Enumeration date
04/03/2007
Last updated
09/12/2007
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