Organization
SHELLNUTS ACES INC
Active
Other names
R & M Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN CLINT MELTON PHARM D. (PRESIDENT)
(931) 403-2552
Entity
Organization
Contact information
Practice address
1970 BRADFORD HICKS DR STE B, LIVINGSTON, TN 38570-2247
(931) 403-2552
(931) 403-2556
Mailing address
1970 BRADFORD HICKS DR STE B, LIVINGSTON, TN 38570-2247
(931) 403-2552
(931) 403-2556
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
4949
TN
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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