Organization
CORLEY'S PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN BRUCE CORLEY D.PH. (PHARMACIST/PRESIDENT)
(423) 638-7552
Entity
Organization
Contact information
Practice address
1004 SNAPPS FERRY RD, GREENEVILLE, TN 37745-4029
(423) 638-7552
(423) 638-2552
Mailing address
PO BOX 874, GREENEVILLE, TN 37744-0874
(423) 638-7552
(423) 638-2552
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1109
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452424
—
TN
01
—
4415041
NCPDP
—
Enumeration date
06/18/2006
Last updated
12/13/2010
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