Organization
KCL INCORPORATED
Active
Other names
LANDRYS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA LOU LANDRY PHARMD (OWNER)
(901) 466-1127
Entity
Organization
Contact information
Practice address
25 WOODBRIDGE RD STE B, STE B, SOMERVILLE, TN 38068-1242
(901) 466-1127
(901) 466-1126
Mailing address
25 WOODBRIDGE RD, STE B, SOMERVILLE, TN 38068-1242
(901) 466-1127
(901) 466-1126
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4494
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2095356
PK
—
Enumeration date
03/31/2008
Last updated
09/11/2019
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