Organization
JKBC WOLF INC
Active
Other names
MADISON AVENUE PAHRMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFRY WOLFENDEN RPH (PRESIDENT)
(423) 746-2626
Entity
Organization
Contact information
Practice address
1001 W MADISON AVE, ATHENS, TN 37303-3433
(423) 746-2626
(423) 746-2626
Mailing address
PO BOX 1187, ATHENS, TN 37371-1187
(423) 746-2626
(423) 746-2624
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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