Organization
TRICARE PHARMACY LLC
Active
Other names
PrimeCare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEOBU PETER MPHARM, DPH (PHARMACY MANAGER & PIC)
(615) 461-7078
Entity
Organization
Contact information
Practice address
710 NASHVILLE PIKE STE 101, GALLATIN, TN 37066-4592
(615) 461-7078
(615) 461-8864
Mailing address
710 NASHVILLE PIKE STE 101, GALLATIN, TN 37066-4592
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q036762
—
TN
Enumeration date
10/06/2025
Last updated
10/06/2025
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