Organization
NUCKOLLS DRUG STORES, INC
Active
Other names
Hudson Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES KIM NUCKOLLS (PRES)
(731) 658-5207
Entity
Organization
Contact information
Practice address
600 NUCKOLLS RD, BOLIVAR, TN 38008-2393
(731) 658-5207
(731) 658-1758
Mailing address
600 NUCKOLLS RD, BOLIVAR, TN 38008-2393
(731) 658-5207
(731) 658-1758
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
128
TN
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4401600
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/10/2006
Last updated
12/11/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us