Organization
HUDSON GRAND JUNCTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY TUCKER (CEO / PRESIDENT / OWNER)
(731) 433-4500
Entity
Organization
Contact information
Practice address
249 HARDEMAN ST N, GRAND JUNCTION, TN 38039-4276
(731) 433-4500
(731) 433-4600
Mailing address
10394 TIDWELL RD, BON AQUA, TN 37025-1567
(601) 946-1826
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
03/11/2025
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