Organization
COMMUNITY PHARMACY LLC
Active
Other names
GreenPoint Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY OKONKWO (OWNER)
(267) 809-1401
Entity
Organization
Contact information
Practice address
1933 ALMAVILLE RD, SMYRNA, TN 37167-6290
(615) 267-0856
(615) 462-6246
Mailing address
PO BOX 1821, TULLAHOMA, TN 37388-1821
(267) 809-1401
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5021
TN
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135312
PK
—
Enumeration date
05/16/2012
Last updated
07/02/2014
About Stedi
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