Organization
OCOEE PROFESSIONAL PHARMACY LLC
Active
Other names
OCOEE PROFESSIONAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOE MOORE (PHARMACIST)
(423) 667-8532
Entity
Organization
Contact information
Practice address
2401 N OCOEE ST STE A, STE A, CLEVELAND, TN 37311-3853
(423) 472-3561
(423) 472-5329
Mailing address
2401 N OCOEE ST, STE A, CLEVELAND, TN 37311-3853
(423) 472-3561
(423) 472-5329
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
3922
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454645
—
TN
01
—
2093986
PK
—
Enumeration date
06/10/2006
Last updated
09/04/2015
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