Organization
GREG EDGIN
Active
Other names
SCOTTS HILL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GREG EDGIN DPH (OWNER PHARMACIST)
(731) 549-3927
Entity
Organization
Contact information
Practice address
640 HIGHWAY 114 S, SCOTTS HILL, TN 38374-5023
(731) 549-3927
(731) 549-2323
Mailing address
PO BOX 247, 640 HWY 114 SOUTH, SCOTTS HILL, TN 38374-0247
(731) 549-3927
(731) 549-2323
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2086
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3560949
—
TN
01
—
4426157
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/20/2006
Last updated
10/02/2012
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