Organization
CLARKSVILLE PHARMACY I LLC
Active
Other names
Andy's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW HIRT (ADMINISTRATOR)
(615) 330-8485
Entity
Organization
Contact information
Practice address
801 N 2ND ST, CLARKSVILLE, TN 37040-2909
(931) 802-5386
(931) 802-5389
Mailing address
4112 BALDWIN ARBOR, NASHVILLE, TN 37215-2412
(615) 330-8485
(931) 802-5389
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
4647
TN
3336L0003X
Long Term Care Pharmacy
Primary
TN1567
KY
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1515313
—
TN
01
—
2130242
PK
—
05
—
7100199100
—
KY
Enumeration date
05/16/2011
Last updated
09/03/2021
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