Organization
INFINITY PHARMACY LLC
Active
Other names
INFINITY PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CASAL RPH (OWNER)
(931) 520-1001
Entity
Organization
Contact information
Practice address
1080 NEAL ST, STE 100, COOKEVILLE, TN 38501-0942
(931) 520-1001
(931) 520-1345
Mailing address
1080 NEAL ST, STE 100, COOKEVILLE, TN 38501-0942
(931) 520-1001
(931) 520-1345
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000004275
TN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510342
—
TN
01
—
2095014
PK
—
Enumeration date
05/18/2006
Last updated
10/11/2022
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