Organization
CENTERSTONE PHARMACY
Active
Other names
Centerstone Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH SHELLY (DIRECTOR OF PHARMACY)
(615) 294-4857
Entity
Organization
Contact information
Practice address
511 8TH ST, CLARKSVILLE, TN 37040-3093
(931) 920-7252
Mailing address
511 8TH ST, CLARKSVILLE, TN 37040-3093
(931) 920-7252
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148611
PK
—
Enumeration date
11/07/2014
Last updated
07/01/2022
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