Organization
WARTBURG PHARMACY INC
Active
Other names
WARTBURG PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
JANA GOUGE (SEC)
(423) 346-2700
Entity
Organization
Contact information
Practice address
1006 MAIN ST, WARTBURG, TN 37887-4150
(423) 346-2700
(423) 346-2756
Mailing address
PO BOX 1036, WARTBURG, TN 37887-1036
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
3142
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452232
—
TN
01
—
2092156
PK
—
Enumeration date
11/14/2006
Last updated
09/19/2025
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