Organization
PROFESSIONAL CARE SERVICES OF WEST TN INC
Active
Organization
PROFESSIONAL CARE SERVICES OF WEST TN INC
Active
Other names
PCS Dyersburg Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM GRIFFIN (CONTROLLER)
(901) 622-1688
Entity
Organization
Contact information
Practice address
2380 HENRY ST, DYERSBURG, TN 38024-1884
(731) 287-1794
(731) 287-1795
Mailing address
1997 HWY 51 S, COVINGTON, TN 38019-3630
(901) 476-8967
(901) 313-1125
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
3807
TN
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4436033
NCPDP
—
Enumeration date
12/28/2006
Last updated
07/09/2019
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