Organization
PROFESSIONAL CARE SERVICES OF WEST TN INC
Active
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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