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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