Organization
ROCKY TOP PHARMACY OF LOUDON INC.
Active
Other names
Rocky Top Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLIE DAVID COSCIA PHARMD (OWNER/AUTHORIZED OFFICIAL)
(865) 657-3500
Entity
Organization
Contact information
Practice address
702 GROVE ST, LOUDON, TN 37774-1481
(865) 657-3500
(865) 657-3502
Mailing address
106 ADMINISTRATION RD, OAK RIDGE, TN 37830-6954
(865) 566-1909
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
3336C0003X
Community/Retail Pharmacy
5658
TN
Other
Enumeration date
09/17/2015
Last updated
07/24/2024
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