Organization
MALEAH PHIPPS
Active
Other names
Case Drug Co.
Organization subpart
No
Provider details
NPI number
Authorized official
MALEAH W. HOLLINGSWORTH PHARM. D. (OWNER)
(731) 586-2931
Entity
Organization
Contact information
Practice address
30816 BROAD ST, BRUCETON, TN 38317-2028
(731) 586-2931
(731) 586-7888
Mailing address
30816 BROAD ST, BRUCETON, TN 38317-2028
(731) 586-2931
(731) 586-7888
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
146
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4443482
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/13/2010
Last updated
10/05/2018
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