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Organization

MED RX PHARMACY PC

Active
Other names
Preeminent Health & Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
BRAD MEDLING (CEO)
(731) 693-7351
Entity
Organization

Contact information

Practice address
1356 UNION UNIVERSITY DR, STE G, JACKSON, TN 38305
(731) 300-7311
(731) 300-7319
Mailing address
1356 UNION UNIVERSITY DR, STE G, JACKSON, TN 38305
(731) 300-7311
(731) 300-7319

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
333600000X
Pharmacy
5793
TN
333600000X
Pharmacy
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2160091
PK
Enumeration date
05/11/2016
Last updated
08/18/2021
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