Organization
INDEPENDENT PHARMACY GROUP, INC.
Active
Other names
Burden Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DARIAN GOODMAN (OFFICER)
(931) 265-3180
Entity
Organization
Contact information
Practice address
418A CENTRAL AVE W, JAMESTOWN, TN 38556-3031
(931) 265-3180
Mailing address
PO BOX 896, MONTEREY, TN 38574-0896
(931) 265-3180
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/02/2018
Last updated
12/02/2018
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