Organization
TUCKER PHARMACY, LLC
Active
Organization
TUCKER PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY TUCKER (CEO)
(601) 946-1826
Entity
Organization
Contact information
Practice address
2415 FAIRVIEW BLVD, FAIRVIEW, TN 37062-9078
(615) 799-0691
Mailing address
10394 TIDWELL RD, BON AQUA, TN 37025-1567
(601) 946-1826
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/16/2019
Last updated
04/16/2023
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