Organization
AMERICARE PHARMACY SERVICES LLC
Active
Other names
PEGASUS EXPRESS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DUNHAM (GENERAL MANAGER AND COO)
(931) 528-0070
Entity
Organization
Contact information
Practice address
621 E 15TH ST STE D, SUITE D, COOKEVILLE, TN 38501-1875
(931) 528-0070
(866) 471-1114
Mailing address
621 E 15TH ST STE D, SUITE D, COOKEVILLE, TN 38501-1875
(931) 528-0070
(866) 471-1114
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
4182
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760585871
—
IA
05
—
1760585871
—
TN
05
—
200421130A
—
KS
01
—
2094722
PK
—
05
—
606257301
—
MO
Enumeration date
09/06/2006
Last updated
07/19/2018
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