Organization
MITCHUM DRUG COMPANY INC
Active
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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