Organization
SUMNER REGIONAL MEDICAL CENTER LLC
Active
Other names
WESTMORELAND PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE OLDHAM PHARMD (DIRECTOR)
(615) 644-6030
Entity
Organization
Contact information
Practice address
1124 NEW HIGHWAY 52 E, WESTMORELAND, TN 37186-5060
(615) 644-6030
(615) 644-6035
Mailing address
1124 NEW HIGHWAY 52 E, WESTMORELAND, TN 37186-5060
(615) 644-6030
(615) 644-6035
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4048
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4437578
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
4437578
—
TN
Enumeration date
11/17/2006
Last updated
09/17/2010
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