Organization
SEVIERVILLE WORX LLC
Active
Organization
SEVIERVILLE WORX LLC
Active
Other names
Preferred Pharmacy Sevierville
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WAYNE BULLINGTON PHARMD (OWNER/PRESIDENT)
(865) 366-1770
Entity
Organization
Contact information
Practice address
1024 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-6921
(865) 366-1770
(865) 366-1771
Mailing address
1024 MIDDLE CREEK RD, SUITE 1, SEVIERVILLE, TN 37862-6921
(865) 366-1770
(865) 366-1771
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0000005729
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157245
PK
—
05
—
Q045408
—
TN
Enumeration date
01/27/2016
Last updated
11/10/2022
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