Organization
SCPG TENNESSEE LLC
Active
Other names
Express Rx of Pleasant View
Organization subpart
No
Provider details
NPI number
Authorized official
UMAR FAROOQ (PRESIDENT)
(501) 392-8680
Entity
Organization
Contact information
Practice address
6361 HIGHWAY 41A, PLEASANT VIEW, TN 37146
(615) 746-8432
(615) 746-3784
Mailing address
PO BOX 34407, PMB 53760, LITTLE ROCK, AR 72203-4420
(870) 761-0980
(615) 746-3784
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
109
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454762
—
TN
01
—
2089594
PK
—
05
—
9441336
—
TN
Enumeration date
06/23/2006
Last updated
11/18/2025
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