Organization
KINZER PHARMACY, LLC
Active
Other names
Kinzer Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KINZER DPH (OWNER/PHARMACIST)
(931) 922-6274
Entity
Organization
Contact information
Practice address
103 PUBLIC SQ, MT PLEASANT, TN 38474-1625
(931) 922-6274
Mailing address
103 PUBLIC SQ, MT PLEASANT, TN 38474-1625
(931) 922-6274
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47798
TN BOARD OF PHARMACY
TN
Enumeration date
12/21/2018
Last updated
12/21/2018
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