Organization
LEBANON FAMILY PHARMACY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HETAL PATEL (OWNER)
(865) 805-9785
Entity
Organization
Contact information
Practice address
1311 W MAIN ST STE A, LEBANON, TN 37087-3274
(615) 547-9556
Mailing address
1311 W MAIN ST STE A, LEBANON, TN 37087-3274
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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