Organization
COLONIAL HEIGHTS PHARMACY, INC.
Active
Other names
Colonial Heights Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA M DUNN PHARM D (PHARMACIST / PIC)
(423) 239-9191
Entity
Organization
Contact information
Practice address
4221 FT. HENRY DRIVE, KINGSPORT, TN 37663
(423) 239-9191
(423) 239-0382
Mailing address
4221 FT. HENRY DRIVE, KINGSPORT, TN 37663
(423) 239-9191
(423) 239-0382
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
TN
3336C0003X
Community/Retail Pharmacy
500
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452937
—
TN
Enumeration date
02/26/2007
Last updated
10/13/2016
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