Organization
UPPER CUMBERLAND RURAL HEALTH LLC
Active
Other names
Cookeville Medical Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NAVIN JAIN (CIO)
(931) 854-9113
Entity
Organization
Contact information
Practice address
225 N WILLOW AVE, COOKEVILLE, TN 38501-2335
(931) 284-4084
(931) 854-9100
Mailing address
225 N WILLOW AVE, COOKEVILLE, TN 38501-2335
(931) 284-4084
(931) 854-9100
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5937
TN
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167251
PK
—
Enumeration date
01/25/2017
Last updated
11/09/2022
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