Organization
HARDEMAN COUNTY COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA LOVELACE (CFO)
(731) 658-5294
Entity
Organization
Contact information
Practice address
629 NUCKOLLS RD, BOLIVAR, TN 38008-1599
(731) 658-5294
Mailing address
629 NUCKOLLS RD, BOLIVAR, TN 38008-1599
(731) 658-5294
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5764
TN
183500000X
Pharmacist
6909
MS
183500000X
Pharmacist
PD11747
AR
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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