Organization
MIDDLECOFF SUPER D DRUGS 116 INC
Active
Other names
super drugs
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARNELL WHITFIELD MIDDLECOFF III D.PH. (OWNER MANAGER)
(901) 465-9888
Entity
Organization
Contact information
Practice address
13092 N MAIN ST, SOMERVILLE, TN 38068-1421
(901) 465-9888
(901) 465-6906
Mailing address
13092 N MAIN ST, SOMERVILLE, TN 38068-1421
(901) 465-9888
(901) 465-6906
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1431
TN
Other
Enumeration date
12/01/2006
Last updated
08/22/2020
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