Organization
BELLS DEPOT, LLC
Active
Other names
RAINES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER K HOPPER PHARMD (OWNER)
(731) 663-3331
Entity
Organization
Contact information
Practice address
13062 HIGHWAY 79, BELLS, TN 38006-3916
(731) 663-3333
(731) 663-0265
Mailing address
PO BOX 1059, BELLS, TN 38006-1059
(731) 663-3333
(731) 663-0265
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000001376
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2088742
PK
—
05
—
Q035573
—
TN
Enumeration date
09/14/2006
Last updated
12/27/2021
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