Organization
INDEPENDENT PHARMACY GROUP, INC.
Active
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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