Organization
PROGRESSIVE HEALTH MANAGEMENT INC
Active
Other names
REAMS DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MATT COX PHARM. D. (OWNER)
(865) 805-3199
Entity
Organization
Contact information
Practice address
1787 VETERANS BLVD STE 103, SEVIERVILLE, TN 37862-6946
(865) 453-5160
(865) 453-1946
Mailing address
1787 VETERANS BLVD STE 103, SEVIERVILLE, TN 37862-6946
(865) 453-5160
(865) 453-1946
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1151
TN
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2096006
PK
—
Enumeration date
07/05/2006
Last updated
12/18/2019
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