Organization
CENTRAL DRUG STORE PLLC
Active
Organization
CENTRAL DRUG STORE PLLC
Active
Other names
Cynthia Bullington Fisher dba Central Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA B FISHER DPH (OWNER)
(423) 638-4711
Entity
Organization
Contact information
Practice address
239 W SUMMER ST, GREENEVILLE, TN 37743-4925
(423) 638-4711
(423) 638-3311
Mailing address
239 W SUMMER ST, GREENEVILLE, TN 37743-4925
(423) 638-4711
(423) 638-3311
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454403
—
TN
Enumeration date
12/03/2020
Last updated
12/03/2020
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