Organization
HCCHC PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA LOVELACE (CFO)
(731) 659-3125
Entity
Organization
Contact information
Practice address
629 NUCKOLLS RD, SUITE A, BOLIVAR, TN 38008-1599
(731) 658-3388
Mailing address
629 NUCKOLLS RD, PO BOX 720, BOLIVAR, TN 38008-1599
(731) 658-3388
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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