Organization
CDK LLC
Active
Other names
McEwen Prescription Shop
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL DONEGAN (PHARMACIST)
(615) 202-2310
Entity
Organization
Contact information
Practice address
10033 US HIGHWAY 70 E, MC EWEN, TN 37101-4490
(931) 582-8808
(931) 582-7707
Mailing address
PO BOX 286, MC EWEN, TN 37101-0286
(931) 582-8808
(931) 582-7707
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4861
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2129995
PK
—
Enumeration date
04/05/2011
Last updated
04/25/2017
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