Organization
MINNIS DRUG STORE INC
Active
Organization
MINNIS DRUG STORE INC
Active
Other names
Minnis Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT KENNETH CANTWELL DPH PHARMACY (OWNER CHIEF PHARMICIST)
(423) 586-4562
Entity
Organization
Contact information
Practice address
1250 TENNOVA MEDICAL WAY, KNOXVILLE, TN 37909-3120
(865) 895-6072
Mailing address
PO BOX 369, MORRISTOWN, TN 37815-0369
(423) 586-4562
(423) 587-5537
Taxonomy
Speciality
Code
Description
License number
State
3336M0003X
Managed Care Organization Pharmacy
Primary
0000001975
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4409670
NABP
TN
Enumeration date
10/23/2006
Last updated
02/28/2023
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