Organization
GAINESBORO RX CORP
Active
Other names
GAINESBORO DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HEMAL PATEL RPH. (OWNER/PHARMACIST)
(931) 268-9919
Entity
Organization
Contact information
Practice address
100 HULL AVENUE, GAINESBORO, TN 38562
(931) 268-9919
(931) 268-3840
Mailing address
75 E VETERANS DR. APT G202, COOKEVILLE, TN 38501
(931) 268-9919
(931) 268-3840
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000002154
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454347
—
TN
01
—
2090873
PK
—
Enumeration date
08/11/2006
Last updated
09/06/2019
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