Organization
CLARKSVILLE PAIN INSTITUTE, LLC
Active
Other names
Cox Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE COX (OWNER)
(931) 802-6825
Entity
Organization
Contact information
Practice address
1849 MADISON ST, CLARKSVILLE, TN 37043-4903
(931) 802-6825
Mailing address
3206 WILDWOOD TRL, LA GRANGE, KY 40031-8232
(502) 939-6085
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5386
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147073
PK
—
Enumeration date
07/29/2014
Last updated
07/29/2014
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