Organization
PHARMACY HOME CARE OF EAST TENNESSEE, INC
Active
Other names
Pharmacy Home Care of East Tennessee
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFRY H WOLFENDEN RPH (PRESIDENT)
(423) 790-7336
Entity
Organization
Contact information
Practice address
120 23RD ST NW, CLEVELAND, TN 37311-3845
(423) 790-1221
Mailing address
PO BOX 2607, CLEVELAND, TN 37320-2607
(423) 790-7336
(423) 790-7338
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4445854
NABP
TN
01
—
5186
STATE LICENSE BOARD OF PHARMACY
TN
05
—
Q032865
—
TN
Enumeration date
04/05/2013
Last updated
03/07/2023
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