Organization
EAGLE DEN DISCOUNT DRUG, LLC
Active
Other names
Eagle Den Discount Drug
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WAYNE BULLINGTON PHARMD (PRESIDENT)
(901) 355-5556
Entity
Organization
Contact information
Practice address
11510 CHAPMAN HWY, SEYMOUR, TN 37865-5044
(865) 299-4044
(865) 299-4046
Mailing address
11510 CHAPMAN HWY, SEYMOUR, TN 37865-5044
(865) 299-4044
(865) 299-4046
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
10/23/2024
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