Organization
DURENS HEALTHCARE LLC
Active
Other names
DURENS HEALTH MART PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY DUREN D.PH. (MEMBER)
(931) 722-4183
Entity
Organization
Contact information
Practice address
119 S MILL ST, LINDEN, TN 37096-6457
(931) 589-2146
(931) 589-2890
Mailing address
PO BOX 629, LINDEN, TN 37096-0629
(931) 589-2146
(931) 589-2890
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
00004517
TN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2095417
PK
—
Enumeration date
06/26/2008
Last updated
05/23/2014
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