Organization
MITCHELL DRUG COMPANY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES ALBERT PETTY DPH (PHARMACIST IN CHARGE)
(931) 484-5117
Entity
Organization
Contact information
Practice address
97 N MAIN ST, CROSSVILLE, TN 38555-4500
(931) 484-5117
(931) 456-2710
Mailing address
97 N MAIN ST, CROSSVILLE, TN 38555-4500
(931) 484-5117
(931) 456-2710
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
C-0228
TN
Other
Enumeration date
02/09/2007
Last updated
10/30/2012
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