Organization
MOSCOW GROUP LLC
Active
Other names
germantown pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC A FOLK DPH (OWNER)
(901) 237-9195
Entity
Organization
Contact information
Practice address
2013 EXETER RD, GERMANTOWN, TN 38138
(901) 729-6429
(901) 729-7694
Mailing address
2013 EXETER ROAD, GERMANTOWN, TN 38138
(901) 729-6429
(901) 729-7694
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
09/15/2021
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