Organization
BISE, LLC
Active
Other names
Surgoinsville Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BETH BRYAN PHARMD (OWNER/MANAGER)
(423) 345-0333
Entity
Organization
Contact information
Practice address
114 BELLAMY AVENUE, SURGOINSVILLE, TN 37873
(423) 345-0333
(423) 345-0336
Mailing address
114 BELLAMY AVENUE, SURGOINSVILLE, TN 37873
(423) 345-0333
(423) 345-0336
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
4667
TN
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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