Organization
SUMNER REGIONAL MEDICAL CENTER LLC
Active
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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