Organization
PREFERRED PHARMACY TELLICO GREENS LLC
Active
Other names
Preferred Pharmacy Tellico Greens LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY GERMAN (OWNER/PHARMACIST)
(865) 458-1113
Entity
Organization
Contact information
Practice address
101 CHEEYO WAY STE A, LOUDON, TN 37774-2798
(865) 458-1113
(865) 458-1441
Mailing address
101 CHEEYO WAY STE A, LOUDON, TN 37774-2798
(865) 458-1113
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
00004678
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2121623
PK
—
Enumeration date
08/26/2009
Last updated
02/14/2017
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