Organization
SCPG TENNESSEE LLC
Active
Organization
SCPG TENNESSEE LLC
Active
Other names
H AND S PHARMACY, Express Rx of Lewisburg
Organization subpart
No
Provider details
NPI number
Authorized official
UMAR FAROOQ (PRESIDENT)
(501) 392-8680
Entity
Organization
Contact information
Practice address
521 W COMMERCE ST, LEWISBURG, TN 37091
(931) 359-2534
(931) 359-4096
Mailing address
PO BOX 34407 PBP 53760, LITTLE ROCK, AR 72203-4420
(501) 534-4459
(501) 534-4460
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000000619
TN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3511622
—
TN
Enumeration date
02/21/2007
Last updated
11/18/2025
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