Organization
TERRYS PHARMACY INC
Active
Other names
TERRYS PHARMACY JACKSBORO
Organization subpart
No
Provider details
NPI number
Authorized official
RISSA PRYSE RPH (PRESIDENT)
(423) 562-4928
Entity
Organization
Contact information
Practice address
2715 JACKSBORO PIKE, JACKSBORO, TN 37757-4851
(423) 563-7455
(423) 563-7448
Mailing address
PO BOX 866, LA FOLLETTE, TN 37766-0866
(423) 563-7455
(423) 563-7448
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
3635
TN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2093165
PK
—
05
—
3536986
—
TN
Enumeration date
07/15/2006
Last updated
04/14/2025
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