Organization
HEALTH CARE INC
Active
Other names
CLINTON DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY MCBRIDE PHARMD (PHARMACIST AND OWNER)
(865) 457-1421
Entity
Organization
Contact information
Practice address
1130 N CHARLES SEIVERS BLVD, CLINTON, TN 37716
(865) 457-1421
(865) 457-9164
Mailing address
1130 N CHARLES SEIVERS BLVD, CLINTON, TN 37716
(865) 457-1421
(865) 457-9164
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2272
TN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2091272
PK
—
Enumeration date
02/28/2007
Last updated
02/21/2017
About Stedi
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