Organization
PHIPPS PHARMACY INC
Active
Other names
Phipps Pharmacy #4
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY ROBERT PHIPPS JR. PHARM D. (PHARMACIST/PRESIDENT/CEO)
(731) 352-0820
Entity
Organization
Contact information
Practice address
19 HUGHES DR, JACKSON, TN 38305-1510
(731) 668-9072
(731) 664-9076
Mailing address
205B HOSPITAL DR, MC KENZIE, TN 38201-1649
(731) 352-0820
(731) 352-2848
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
308
TN
3336C0004X
Compounding Pharmacy
308
TN
3336L0003X
Long Term Care Pharmacy
308
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518370
—
TN
01
—
4417627
NABP
TN
Enumeration date
10/03/2006
Last updated
05/31/2024
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