Organization
NEIGHBORHOOD PHARMACY LLC
Active
Other names
Neighborhood Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN WRIGHT (PRESIDENT)
(731) 676-4534
Entity
Organization
Contact information
Practice address
1954 SAINT JOHN AVE STE B, DYERSBURG, TN 38024-2199
(731) 259-0404
(731) 259-0406
Mailing address
1954 SAINT JOHN AVE STE B, DYERSBURG, TN 38024-2199
(731) 676-4534
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5879
TN
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2165911
PK
—
Enumeration date
11/01/2016
Last updated
12/20/2016
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