Organization
GOOD OLD DRUGSTORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MALONE (PIC)
(865) 497-9999
Entity
Organization
Contact information
Practice address
8295 HIGHWAY 131, WASHBURN, TN 37888
(865) 497-9999
(865) 497-9990
Mailing address
PO BOX 98, WASHBURN, TN 37888-0098
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4193
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4438443
OTHER ID NUMBER
—
Enumeration date
09/19/2005
Last updated
09/14/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us