Organization
BRAD AND DEBBIE PHELPS INC
Active
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
Update your record
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