Organization
COMMUNITY DRUG CORPORATION
Active
Other names
COMMUNITY DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN EVANS D. PH. (PRESIDENT)
(615) 847-5527
Entity
Organization
Contact information
Practice address
862 ROBINSON RD, OLD HICKORY, TN 37138-3331
(615) 847-5527
(615) 847-2858
Mailing address
PO BOX 1267, GOODLETTSVILLE, TN 37070-1267
(615) 847-5527
(615) 847-2858
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4507
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4441250
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/06/2008
Last updated
03/17/2010
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