Organization
PROFESSIONAL CARE SERVICES OF WEST TN INC
Active
Other names
PCS COVINGTON
Organization subpart
No
Provider details
NPI number
Authorized official
TOM GRIFFIN (CONTROLLER)
(901) 622-1688
Entity
Organization
Contact information
Practice address
1997 HIGHWAY 51 S, COVINGTON, TN 38019-3630
(901) 475-3586
(901) 313-1153
Mailing address
1997 HIGHWAY 51 S, COVINGTON, TN 38019-3630
(901) 475-3586
(901) 313-1153
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
189
TN
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2088675
PK
—
05
—
3722813
—
TN
Enumeration date
01/02/2007
Last updated
07/09/2019
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