Organization
MEDICINE CHEST APOTHECARY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY DALE SELLS DPH (PHARMACIST)
(931) 528-8479
Entity
Organization
Contact information
Practice address
330 N OAK AVE, COOKEVILLE, TN 38501-2440
(931) 528-8479
Mailing address
330 N OAK AVE, COOKEVILLE, TN 38501-2440
(931) 528-8479
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
00000399
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3544998
—
TN
01
—
4418100
NCPDP
TN
Enumeration date
03/27/2007
Last updated
03/07/2023
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