Organization
CRAIN'S PHARMACY INC
Active
Other names
CRAIN'S PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEAVER (PRES PHCST)
(731) 635-2232
Entity
Organization
Contact information
Practice address
251 S WASHINGTON ST, RIPLEY, TN 38063-1736
(731) 635-2232
(731) 635-8939
Mailing address
251 S WASHINGTON ST, RIPLEY, TN 38063-1736
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000001086
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3512649
—
TN
01
—
4401458
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/20/2006
Last updated
02/26/2009
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