Organization
WILEYS LLC
Active
Other names
Wiley's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY A. WILEY DPH (PHARMACIST/MANAGING MEMBER)
(931) 692-3888
Entity
Organization
Contact information
Practice address
1595 MAIN STREET, ALTAMONT, TN 37301-0157
(931) 692-3888
(931) 692-3889
Mailing address
1595 MAIN STREET, PO BOX 157, ALTAMONT, TN 37301
(931) 692-3888
(931) 692-3889
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
96
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3547472
—
TN
Enumeration date
10/13/2006
Last updated
02/04/2008
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