Organization
THE HATCHIE PHARMACY LLC
Active
Organization
THE HATCHIE PHARMACY LLC
Active
Other names
HATCHIE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BRYANT-HOLMAN PHARMD (OWNER)
(731) 659-3740
Entity
Organization
Contact information
Practice address
640 NUCKOLLS RD, BOLIVAR, TN 38008-1532
(731) 659-3740
(731) 659-3742
Mailing address
640 NUCKOLLS RD, BOLIVAR, TN 38008-1532
(731) 659-3740
(731) 659-3742
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000004085
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2094613
PK
—
05
—
4437794
—
TN
Enumeration date
05/02/2006
Last updated
01/18/2017
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