Organization
BARTLETT PRESCRIPTION SHOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILL REGEL (OWNER)
(901) 388-6826
Entity
Organization
Contact information
Practice address
5675 STAGE RD, BARTLETT, TN 38134-4552
(901) 372-0787
(901) 388-1160
Mailing address
5675 STAGE RD, BARTLETT, TN 38134-4552
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4412297
OTHER ID NUMBER
—
Enumeration date
12/11/2006
Last updated
10/26/2022
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