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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