Organization
P AND P PRESCRIPTION SHOP INC
Active
Other names
P AND P PRESCRIPTION SHOP INC
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY MCCORMICK (PRESIDENT)
(615) 824-1216
Entity
Organization
Contact information
Practice address
107 IMPERIAL BLVD, STE 9, HENDERSONVILLE, TN 37075-3479
(615) 824-1216
(615) 264-3784
Mailing address
107 IMPERIAL BLVD, STE 9, HENDERSONVILLE, TN 37075-3479
(615) 824-1216
(615) 264-3784
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
1337
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4401131
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/13/2006
Last updated
04/13/2012
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