Organization
HOSKINS DRUG STORE NO 2 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DUDLEY BOSTIC (CO-OWNER)
(865) 457-4340
Entity
Organization
Contact information
Practice address
111 N MAIN ST, CLINTON, TN 37716-3607
(865) 475-4340
(865) 463-0678
Mailing address
111 N MAIN ST, CLINTON, TN 37716-3607
(865) 475-4340
(865) 463-0678
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000000194
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0662682
UMWA
TN
01
—
3032668
BCBSTN
TN
05
—
3520220
—
TN
01
—
4403604
NABP
TN
01
—
501167
DEPT OF LABOR
TN
01
—
536988000
DEPT OD LABOR
TN
01
—
D04403604
JOHNDEER
TN
Enumeration date
06/23/2006
Last updated
04/20/2008
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