Organization
SCPG TENNESSEE LLC
Active
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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