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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
Primary
3336I0012X
Institutional Pharmacy
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q090493
TN
Enumeration date
08/09/2024
Last updated
08/09/2024
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