Organization
P & S PHARMACY
Active
Other names
P & S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LOWELL GRIZZLE (OWNER)
(423) 246-8351
Entity
Organization
Contact information
Practice address
613 WATAUGA ST, KINGSPORT, TN 37660-4429
(423) 246-8351
(423) 230-0832
Mailing address
613 WATAUGA ST, KINGSPORT, TN 37660-4429
(423) 246-8351
(423) 230-0832
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000000509
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4404149
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
97010572383
—
TN
Enumeration date
08/10/2006
Last updated
03/06/2019
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