Organization
MONTEREY DRUGS INC
Active
Other names
Monterey Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
BRADFORD VAUGHN (PRESIDENT)
(931) 267-2493
Entity
Organization
Contact information
Practice address
201 N ELMORE ST STE F, MONTEREY, TN 38574-1260
(931) 839-6777
(931) 839-6779
Mailing address
331 SATTERFIELD RD, MONTEREY, TN 38574-3139
(931) 267-2493
(931) 839-6779
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5127
TN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1534259
—
TN
01
—
2139428
PK
—
Enumeration date
12/26/2012
Last updated
12/08/2021
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