Organization
WILSON DRUGS INC
Active
Other names
WIL SAV DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES TALLENT (OWNER)
(423) 442-9727
Entity
Organization
Contact information
Practice address
4249 HIGHWAY 411, UNIT 5, MADISONVILLE, TN 37354-1544
(423) 442-9727
(423) 442-5057
Mailing address
4249 HIGHWAY 411, UNIT 5, MADISONVILLE, TN 37354-1544
(423) 442-9727
(423) 442-5057
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000001095
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2095776
PK
—
05
—
3514894
—
TN
Enumeration date
09/12/2006
Last updated
07/21/2016
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