Organization
LARRY H PAFFORD
Active
Other names
IRVINE DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY H PAFFORD (OWNER / PHARMACIST)
(731) 696-5577
Entity
Organization
Contact information
Practice address
5 S COURT ST, ALAMO, TN 38001-1708
(731) 696-5577
(731) 696-4311
Mailing address
5 S COURT ST, ALAMO, TN 38001-1708
(731) 696-5577
(731) 696-4311
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
104
TN
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454946
—
TN
01
—
4402258
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
9440548
—
TN
Enumeration date
10/07/2006
Last updated
07/21/2008
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