Organization
WILSONS SAV-MOR DRUGS LLC
Active
Parent organization
423-623-3456
Other names
Wilson's Sav-Mor Drugs
Organization subpart
Yes
Provider details
NPI number
Legal business name
423-623-3456
Authorized official
ROBERT WAYNE BULLINGTON PHARMD (OWNER/PRESIDENT)
(901) 355-5556
Entity
Organization
Contact information
Practice address
265 E MAIN ST, NEWPORT, TN 37821-3126
(423) 623-3456
(423) 623-3049
Mailing address
265 E MAIN ST, NEWPORT, TN 37821-3126
(423) 623-3456
(423) 623-3049
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q033343
—
TN
Enumeration date
11/09/2022
Last updated
01/09/2023
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