Organization
ROSS ENTERPRISES INC
Active
Other names
ROSS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DOFRED ROSS (OWNER)
(423) 284-7202
Entity
Organization
Contact information
Practice address
2001 E 3RD ST, STE C, CHATTANOOGA, TN 37404-2610
(423) 648-1040
(423) 648-7549
Mailing address
5310 KELLYS PT, OOLTEWAH, TN 37363-8892
(423) 991-7497
(423) 238-9277
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
4468
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4441008
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/08/2008
Last updated
03/03/2010
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