Organization
STATE OF TENNESSEE
Active
Organization
STATE OF TENNESSEE
Active
Other names
South Central Tennessee Regional Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA J WHITWELL (OFFICE SUPERVISOR)
(931) 490-8334
Entity
Organization
Contact information
Practice address
1216 TROTWOOD AVE, COLUMBIA, TN 38401-6406
(931) 490-8366
(931) 380-3364
Mailing address
1216 TROTWOOD AVE, COLUMBIA, TN 38401-6406
(931) 490-8366
(931) 380-3364
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
0000002135
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4440640
NCPDP
TN
Enumeration date
08/16/2006
Last updated
09/25/2012
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