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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