Organization
EAGLE DEN DISCOUNT DRUG, LLC
Active
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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