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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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