Organization
LASCASSAS DRUGS LLC
Active
Other names
LASCASSAS DRUGS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CANDI MATHIS (OWNER)
(615) 896-9808
Entity
Organization
Contact information
Practice address
4702 LASCASSAS PIKE, LASCASSAS, TN 37085-4511
(615) 896-9808
(615) 896-9876
Mailing address
4702 LASCASSAS PIKE, LASCASSAS, TN 37085-4511
(615) 896-9808
(615) 896-9876
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4247
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2094979
PK
—
Enumeration date
06/21/2006
Last updated
01/30/2025
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