Organization
MARK H KOLARSKY
Active
Other names
Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY HITE (OFFICE MANAGER)
(423) 348-6101
Entity
Organization
Contact information
Practice address
1025 HIGHWAY 93, FALL BRANCH, TN 37656-1844
(423) 348-6101
(423) 348-6716
Mailing address
1025 HIGHWAY 93, FALL BRANCH, TN 37656-1844
(423) 348-6101
(423) 348-6716
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000000123
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790186401
—
TN
01
—
2148064
PK
—
Enumeration date
09/12/2014
Last updated
09/25/2020
About Stedi
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