Organization
BRAD AND DEBBIE PHELPS INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD PHELPS (OWNER)
(423) 787-9544
Entity
Organization
Contact information
Practice address
910A TUSCULUM BLVD, GREENEVILLE, TN 37745-4004
(423) 787-9544
(423) 787-1996
Mailing address
910A TUSCULUM BLVD, GREENEVILLE, TN 37745-4004
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3145
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4430548
OTHER ID NUMBER
—
05
—
4430548
—
TN
Enumeration date
08/20/2006
Last updated
02/11/2008
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