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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