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Organization

ROBERT HIGGINBOTTOM

Active
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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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