Organization
JIMMY MAX PETTIGREW AND JAMES B PETTIGREW
Active
Other names
PETTIGREW DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY PETTIGREW (OWNER PHARMACIST)
(731) 632-3118
Entity
Organization
Contact information
Practice address
139 W MAIN ST, ADAMSVILLE, TN 38310-2203
(731) 632-3118
(731) 632-0567
Mailing address
PO BOX 409, ADAMSVILLE, TN 38310-0409
(731) 632-3118
(731) 632-0567
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
101
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2095053
PK
—
Enumeration date
01/26/2007
Last updated
09/18/2017
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