Organization
GALEN PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY HICKMAN (CHIEF INFORMATICS OFFICER)
(423) 308-0280
Entity
Organization
Contact information
Practice address
4972 ALPHA LANE, HIXSON, TN 37343
(423) 497-5360
(423) 305-7269
Mailing address
4976 ALPHA LN, HIXSON, TN 37343-5470
(423) 497-5355
(423) 308-0281
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q057693
—
TN
Enumeration date
01/22/2020
Last updated
05/03/2023
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