Organization
TERRY'S PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RISSA P TAMER PH D (PRESIDENT)
(423) 562-4928
Entity
Organization
Contact information
Practice address
310 E CENTRAL AVE, LA FOLLETTE, TN 37766-3617
(423) 562-4928
(423) 566-4044
Mailing address
310 E CENTRAL AVE, LA FOLLETTE, TN 37766-3617
(423) 562-4928
(423) 566-4044
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000000117
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3536986
—
TN
Enumeration date
08/09/2006
Last updated
11/17/2009
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