Organization
TERI L GALLAGHER
Active
Other names
Bradfords pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TERI GALLAGHER PHARM D. (OWNER)
(931) 649-5050
Entity
Organization
Contact information
Practice address
104 HUDGINS ST, ESTILL SPRINGS, TN 37330-3027
(931) 649-5050
(931) 649-3148
Mailing address
104 HUDGINS ST, ESTILL SPRINGS, TN 37330-3027
(931) 649-5050
(931) 649-3148
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000003094
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148031
PK
—
Enumeration date
09/15/2014
Last updated
02/20/2017
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