Organization
CLARKSVILLE PAIN INSTITUTE, LLC
Active
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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