Organization
ROWAN ENTERPRISES INC
Active
Other names
BOONES CREEK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS ROWAN DPH (PRESIDENT AND OWNER)
(423) 283-0911
Entity
Organization
Contact information
Practice address
4729 N ROAN ST, STE 2, JOHNSON CITY, TN 37615-3959
(423) 283-0911
(423) 283-0990
Mailing address
4729 N ROAN ST, STE 2, JOHNSON CITY, TN 37615-3959
(423) 283-0911
(423) 283-0990
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2064
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3562790
—
TN
01
—
4425004
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/28/2007
Last updated
08/19/2009
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