Organization
ROBERT HIGGINBOTTOM
Active
Other names
THE PRESCRIPTION SHOP
Organization subpart
No
Provider details
NPI number
Authorized official
BO HIGGINBOTTOM DPH (OWNER)
(731) 925-3956
Entity
Organization
Contact information
Practice address
765 FLORENCE RD STE B, SAVANNAH, TN 38372-5219
(731) 925-3956
(731) 925-8754
Mailing address
765 FLORENCE RD STE B, SAVANNAH, TN 38372-5219
(731) 925-3956
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1101
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2096000
PK
—
05
—
3538186
—
TN
Enumeration date
03/02/2007
Last updated
06/20/2023
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