Organization
GREENFIELD PHARMS, LLC
Active
Parent organization
GREENFIELD PHARMS LLC
Other names
Kenton Drug Company
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREENFIELD PHARMS LLC
Authorized official
DEREK HOLYFIELD PHARM. D (CEO)
(731) 618-1787
Entity
Organization
Contact information
Practice address
116 E COLLEGE ST, KENTON, TN 38233-1336
(731) 749-5951
(731) 749-5135
Mailing address
116 E COLLEGE, KENTON, TN 38233
(731) 749-5951
(731) 749-5135
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
492
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2095603
PK
—
05
—
Q035672
—
TN
Enumeration date
12/27/2006
Last updated
11/02/2022
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