Organization
COOKEVILLE DISCOUNT PHARMACY
Active
Organization
COOKEVILLE DISCOUNT PHARMACY
Active
Other names
COOKEVILLE MED PLUS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CRANFORD (PHARM D)
(931) 528-4634
Entity
Organization
Contact information
Practice address
315 N WASHINGTON AVE, STE 130, COOKEVILLE, TN 38501-2603
(931) 528-4634
(931) 372-1631
Mailing address
315 N WASHINGTON AVE, STE 130, COOKEVILLE, TN 38501-2603
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
0000003488
TN
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454201 TN
—
TN
01
—
4433936
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/21/2006
Last updated
02/01/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up