Organization
BUCHHEIT DRUG CORPORATION
Active
Other names
Medi-Thrift Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
RAYELLA JO VAUGHN PHARMD (OWNER-PHARMACIST)
(931) 879-8133
Entity
Organization
Contact information
Practice address
346 W CENTRAL AVE, JAMESTOWN, TN 38556-3407
(931) 879-8133
Mailing address
PO BOX 610, JAMESTOWN, TN 38556-0610
(931) 879-8133
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3559215
—
TN
Enumeration date
03/11/2020
Last updated
04/30/2020
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