Organization
PROFESSIONAL ARTS PHARMACY, LLC
Active
Organization
PROFESSIONAL ARTS PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL D PACE (OWNER)
(731) 614-4259
Entity
Organization
Contact information
Practice address
148 W CHURCH ST, SUITE B, LEXINGTON, TN 38351
(731) 968-5474
(731) 798-5079
Mailing address
270 W CHURCH ST STE C, LEXINGTON, TN 38351-2077
(731) 968-5474
(731) 968-5369
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4452342
NCPDP
—
Enumeration date
01/16/2020
Last updated
09/26/2022
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