Organization
RURAL HEALTH SERVICES CONSORTIUM
Active
Other names
RURAL HEALTH SERVICES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES SHUCK RPH (PHARMACY DIRECTOR)
(423) 921-1621
Entity
Organization
Contact information
Practice address
4307 HIGHWAY 66 S, ROGERSVILLE, TN 37857-3155
(423) 921-1621
(423) 921-1671
Mailing address
PO BOX 850, ROGERSVILLE, TN 37857-0850
(423) 921-1621
(423) 921-1671
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000003349
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730189549
—
TN
01
—
2092706
PK
—
Enumeration date
07/22/2005
Last updated
05/11/2016
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