Organization
STATE OF TENNESSEE
Active
Organization
STATE OF TENNESSEE
Active
Other names
Upper Cumberland Regional Clinic Distributor Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA G. STEPHENS PHARMACIST (REGIONAL PHARMACIST)
(931) 646-7551
Entity
Organization
Contact information
Practice address
1100 ENGLAND DRIVE, COOKEVILLE, TN 38501-0924
(931) 646-7551
(931) 646-7596
Mailing address
1100 ENGLAND DRIVE, COOKEVILLE, TN 38501-0924
(931) 646-7551
(931) 646-7596
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
4908839
TN
Other
Enumeration date
05/02/2007
Last updated
02/22/2018
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