Organization
EDWARD BISSELL INC
Active
Other names
EAST TENNESSEE DISCOUNT DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WAYNE BULLINGTON PHARMD (OWNER/PRESIDENT)
(865) 933-4149
Entity
Organization
Contact information
Practice address
524 ANDREW JOHNSON HWY, STRAWBERRY PLAINS, TN 37871-1015
(865) 933-4149
(865) 933-4037
Mailing address
524 ANDREW JOHNSON HWY, STRAWBERRY PLAINS, TN 37871-1015
(865) 933-4149
(865) 933-4037
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
812
TN
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454935
—
TN
01
—
2096135
PK
—
Enumeration date
08/05/2006
Last updated
01/09/2023
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