Organization
COOKEVILLE RX INC.
Active
Other names
Village Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DIPTI PATEL (OWNER/ PRESIDENT)
(931) 319-6949
Entity
Organization
Contact information
Practice address
841 E 10TH ST, COOKEVILLE, TN 38501-1903
(931) 400-0841
(931) 400-0842
Mailing address
841 E 10TH ST, COOKEVILLE, TN 38501-1903
(931) 400-0841
(931) 400-0842
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
04/20/2022
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