Organization
H&M APOTHECARY LLC
Active
Other names
East Main Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM CHASE GARRISON PHARMD (OWNER/PIC)
(731) 926-0279
Entity
Organization
Contact information
Practice address
712 E MAIN ST, ADAMSVILLE, TN 38310
(731) 632-3278
(731) 632-3279
Mailing address
PO BOX 314, ADAMSVILLE, TN 38310
(731) 632-3278
(731) 632-3279
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
4843
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4444117
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/22/2011
Last updated
11/16/2018
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