Organization
DOWN HOME RX LLC
Active
Other names
Down Home Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RYAN KRAGEL PHARMD (OWNER/PRESIDENT)
(865) 993-4074
Entity
Organization
Contact information
Practice address
1034 MAIN ST, BEAN STATION, TN 37708-4257
(865) 993-4074
(865) 993-4194
Mailing address
1034 MAIN ST, BEAN STATION, TN 37708-4257
(865) 993-4074
(865) 993-4194
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0000003149
TN
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138216
PK
—
Enumeration date
03/09/2010
Last updated
01/09/2023
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