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Organization

PHARMACY HOME DELIVERY LLC

Active
Other names
PHD LLC
Organization subpart
No

Provider details

NPI number
Authorized official
H DON HICKS (CEO)
(800) 862-1456
Entity
Organization

Contact information

Practice address
110 KEITH ST SW, SUITE 1, CLEVELAND, TN 37311-5868
(423) 614-6650
(423) 614-6652
Mailing address
PO BOX 3296, CLEVELAND, TN 37320-3296
(800) 862-1456
(888) 805-2406

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
4219
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2094872
PK
05
4438760
TN
Enumeration date
08/10/2006
Last updated
01/18/2017
About Stedi
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