Organization
BOATWRIGHT DRUG CO., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN L BOATWRIGHT DPH (PHARMACIST/OWNER)
(901) 872-2214
Entity
Organization
Contact information
Practice address
7899 LEROY BOATWRIGHT ST, MILLINGTON, TN 38053-2137
(901) 872-2214
(901) 872-1655
Mailing address
PO BOX 185, MILLINGTON, TN 38083-0185
(901) 872-2214
(901) 872-1655
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0468850001
—
TN
Enumeration date
03/31/2020
Last updated
03/31/2020
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