Organization
RODERICK A GALLAHER
Active
Other names
SIGNAL MOUNTAIN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RICK GALLAHER (OWNER)
(423) 886-2135
Entity
Organization
Contact information
Practice address
804 RIDGEWAY AVE, SIGNAL MOUNTAIN, TN 37377-3065
(423) 886-2135
(423) 886-6035
Mailing address
804 RIDGEWAY AVE, SIGNAL MOUNTAIN, TN 37377-3065
(423) 886-2135
(423) 886-6035
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3517460
—
TN
Enumeration date
02/15/2007
Last updated
06/18/2008
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