Organization
PORTLAND CLINIC PHARMACY
Active
Other names
Gallatin Prescription Shop
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE STINNETT (OWNER/PHARMACIST)
(270) 323-5050
Entity
Organization
Contact information
Practice address
420 TN-52, PORTLAND, TN 37148
(615) 909-4030
(615) 909-6005
Mailing address
420 TN-52, PORTLAND, TN 37148
(615) 909-4030
(615) 909-6005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q054208
—
TN
Enumeration date
07/31/2019
Last updated
09/02/2025
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