Organization
TCCT LLC
Active
Other names
Tate Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER TODD HALL PHARMD. (MEMBER)
(606) 785-5700
Entity
Organization
Contact information
Practice address
90 B ROGER COMBS BLVD, HINDMAN, KY 41822
(606) 785-5700
(606) 785-4004
Mailing address
PO BOX 973, HINDMAN, KY 41822-0973
(606) 785-5607
(606) 785-4004
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
3336C0003X
Community/Retail Pharmacy
P07462
KY
Other
Enumeration date
09/14/2011
Last updated
10/22/2012
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