Organization
SUGARSPOON, LLC
Active
Other names
SugarSpoon Hometown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENEKO CLAYBON PHARM D (PHARMACIST)
(901) 481-8107
Entity
Organization
Contact information
Practice address
12151 MAIN ST, MASON, TN 38049-7049
(901) 698-8380
Mailing address
291 W HARMONY DR, MASON, TN 38049-5704
(901) 481-8107
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q109071
—
TN
Enumeration date
10/13/2025
Last updated
02/28/2026
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