Organization
CENTRAL DRUG LLC
Active
Organization
CENTRAL DRUG LLC
Active
Other names
Central Drug Peerless Crossing
Organization subpart
No
Provider details
NPI number
Authorized official
MICAH BOWEN CRAINE PHARMD (OWNER)
(423) 339-3363
Entity
Organization
Contact information
Practice address
1075 PEERLESS XING NW, CLEVELAND, TN 37312-3764
(423) 339-3363
(423) 339-9692
Mailing address
1075 PEERLESS XING NW, CLEVELAND, TN 37312-3764
(423) 339-3363
(423) 339-9692
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
4259
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455229
—
TN
Enumeration date
08/18/2006
Last updated
08/06/2025
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