Organization
CEDAR RECOVERY OF MIDDLE TENNESSEE, LLC
Active
Organization
CEDAR RECOVERY OF MIDDLE TENNESSEE, LLC
Active
Parent organization
CEDAR RECOVERY OF MIDDLE TENNESSEE, LLC
Other names
CedarRx-Columbia
Organization subpart
Yes
Provider details
NPI number
Legal business name
CEDAR RECOVERY OF MIDDLE TENNESSEE, LLC
Authorized official
MR. PAUL TRIVETTE (CHIEF STRATEGY OFFICER)
(423) 914-1518
Entity
Organization
Contact information
Practice address
1512 HATCHER LN, COLUMBIA, TN 38401-4825
(615) 257-6844
(615) 549-7044
Mailing address
5000 CROSSINGS CIR STE 103, MOUNT JULIET, TN 37122-8591
(615) 288-1103
(615) 549-7044
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q090493
—
TN
Enumeration date
08/09/2024
Last updated
08/13/2026
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