Organization
WOODS MEMORIAL HOSPITAL PHCY
Active
Other names
WOODS MEMORIAL HOSPITAL PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY GREEN PHARMD (DIRECTOR OF PHARMACY)
(423) 263-3651
Entity
Organization
Contact information
Practice address
886 HIGHWAY 411 N, ETOWAH, TN 37331-1912
(423) 263-3651
(423) 263-3776
Mailing address
886 HIGHWAY 411 N, ETOWAH, TN 37331-1912
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
1269
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
440054
—
TN
01
—
4414075
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/15/2006
Last updated
11/25/2008
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