Organization
MEDICAL CENTER PHARMACY INC
Active
Other names
MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOE SHANNON MOORE (OWNER)
(423) 476-5548
Entity
Organization
Contact information
Practice address
2401 N OCOEE ST, CLEVELAND, TN 37311-3853
(423) 476-5547
(423) 472-0125
Mailing address
PO BOX 3240, CLEVELAND, TN 37320-3240
(423) 476-5547
(423) 244-2510
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
00000187
TN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2095240
PK
—
05
—
3524217
—
TN
Enumeration date
11/17/2006
Last updated
05/07/2025
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