Organization
BOB'S DISCOUNT PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY TODD GEAN (OWNER)
(731) 925-1152
Entity
Organization
Contact information
Practice address
555 PICKWICK ST S, SAVANNAH, TN 38372-3082
(731) 925-1152
(731) 926-3199
Mailing address
555 PICKWICK ST S, SAVANNAH, TN 38372-3082
(731) 925-1152
(731) 926-3199
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5550
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4431451
—
TN
Enumeration date
02/20/2007
Last updated
09/27/2011
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