Organization
GREENE VALLEY DEVELOPMENTAL CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY CROCKETT MEECE PHD (CHIEF OFFICER)
(423) 787-6568
Entity
Organization
Contact information
Practice address
4850 E ANDREW JOHNSON HWY, GREENEVILLE, TN 37745-3098
(423) 378-7665
(423) 787-6776
Mailing address
PO BOX 910, GREENEVILLE, TN 37744-0910
(423) 378-7665
(423) 787-6776
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
711
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4416067
NABP
—
Enumeration date
11/16/2006
Last updated
11/29/2007
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