Organization
RONNIE FELTS
Active
Other names
JOELTON PRESCRIPTION SHOP
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE FELTS DPH (OWNER)
(615) 876-0633
Entity
Organization
Contact information
Practice address
7164 WHITES CREEK PIKE, JOELTON, TN 37080-8632
(615) 876-0633
(615) 876-0080
Mailing address
7164 WHITES CREEK PIKE, JOELTON, TN 37080-8632
(615) 876-0633
(615) 876-0080
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
933
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2094782
NCPDP
TN
Enumeration date
09/26/2006
Last updated
04/20/2017
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