Organization
CARTERS AT STONE BRIDGE LLC
Active
Organization
CARTERS AT STONE BRIDGE LLC
Active
Other names
CARTERS AT STONEBRIDGE
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES DAMRON PHARM D (OWNER)
(931) 433-1511
Entity
Organization
Contact information
Practice address
6 ELDAD RD, FAYETTEVILLE, TN 37334-7005
(931) 438-0760
(931) 433-6854
Mailing address
6 ELDAD RD, FAYETTEVILLE, TN 37334-7005
(931) 438-0760
(931) 433-6854
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4340
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455166
—
TN
01
—
2095148
PK
—
Enumeration date
12/04/2006
Last updated
10/30/2025
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