Organization
TAYLOR BROTHERS PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH KELLEY OWEN (OWNER)
(731) 264-5651
Entity
Organization
Contact information
Practice address
650 CARL PERKINS PARKWAY, TIPTONVILLE, TN 38079-1678
(731) 264-5651
(731) 264-5356
Mailing address
109 N MAIN ST, RIDGELY, TN 38080-1316
(731) 264-5651
(731) 264-5356
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9449354
—
TN
Enumeration date
10/28/2016
Last updated
11/01/2016
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