Organization
ROANE PHARMACY INC
Active
Other names
Union Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN HUYNH (OWNER)
(251) 232-0590
Entity
Organization
Contact information
Practice address
112 JANE WAY LN STE 1, JACKSBORO, TN 37757-2704
(251) 232-0590
Mailing address
PO BOX 695, CODEN, AL 36523-0695
(251) 232-0590
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5646
TN
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158356
PK
—
Enumeration date
12/22/2015
Last updated
03/03/2016
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