Organization
LIFEPOINT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES W DAVIS PHARMACIST (PHARMACITS. STAFF)
(615) 225-8870
Entity
Organization
Contact information
Practice address
3163 SOUTH CHURCH STREET, MURFREESBORO, TN 37127
(615) 225-8870
Mailing address
3163 S CHURCH ST, MURFREESBORO, TN 37127-7174
(615) 225-8870
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
C005712
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396013454
—
TN
Enumeration date
06/06/2014
Last updated
06/06/2014
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