Organization
MITCHUM DRUG COMPANY INC
Active
Other names
Mitchum Drug Company
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLISLE WEBB MITCHUM III (PRESIDENT-PHARMACIST)
(931) 289-4231
Entity
Organization
Contact information
Practice address
SPRING & FRONT STS, ERIN, TN 37061
(931) 289-4231
(931) 289-4230
Mailing address
PO BOX 227, 18 SPRING ST, ERIN, TN 37061-0227
(931) 289-4231
(931) 289-4230
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
358
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3059807
BLUE CROSS BLUE SHIELD TN
TN
05
—
3545373
—
TN
01
—
4402878
NABP
TN
Enumeration date
02/15/2007
Last updated
09/22/2014
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