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Organization

MAIN STREET FAMILY PHARMACY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTY NEWBAKER (OWNER)
(731) 627-2221
Entity
Organization

Contact information

Practice address
126 E MAIN ST, NEWBERN, TN 38059-1527
(731) 627-2221
(731) 627-6152
Mailing address
126 E MAIN ST, NEWBERN, TN 38059-1527
(731) 627-2221
(731) 627-6152

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0000000895
TN
3336C0003X
Community/Retail Pharmacy
0000000895
TN

Other

Enumeration date
10/10/2008
Last updated
10/10/2008
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