Organization
COMMUNITY PHARMACY CARE INC
Active
Other names
KINGSTON SPRINGS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARTY GENTRY PHARM D (PARTNER)
(615) 446-5585
Entity
Organization
Contact information
Practice address
111 W KINGSTON SPRINGS RD, STE 103, KINGSTON SPRINGS, TN 37082-9121
(615) 952-3690
(615) 952-3692
Mailing address
111 W KINGSTON SPRINGS RD, STE 103, KINGSTON SPRINGS, TN 37082-9121
(615) 952-3690
(615) 952-3692
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4314
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2095132
PK
—
Enumeration date
09/21/2006
Last updated
09/21/2016
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