Organization
ROCKY TOP PHARMACY OF LOUDON INC.
Active
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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