Organization
SIGNAL MOUNTAIN PHARMACY, LLC.
Active
Organization
SIGNAL MOUNTAIN PHARMACY, LLC.
Active
Other names
signal mountain pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODERICK (RICK) ADAMS GALLAHER DPH (OWNER/PRESIDENT)
(423) 886-2135
Entity
Organization
Contact information
Practice address
804 RIDGEWAY AVE, SIGNAL MOUNTAIN, TN 37377-3065
(423) 886-2135
(423) 886-6035
Mailing address
804 RIDGEWAY AVE, SIGNAL MOUNTAIN, TN 37377-3065
(423) 886-2135
(423) 886-6035
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q046083
—
TN
Enumeration date
02/02/2007
Last updated
05/28/2020
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