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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