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Organization

ST BETHLEHEM DRUGS INC NEW CORP

Active
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Organization

ST BETHLEHEM DRUGS INC NEW CORP

Active
Other names
St. Bethlehem Drugs
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES MANUEL HOLLAND (OPERATIONS MANAGER)
(931) 289-8991
Entity
Organization

Contact information

Practice address
800 WEATHERLY DR, SUITE 101A, CLARKSVILLE, TN 37043-8957
(931) 647-6561
(931) 906-1254
Mailing address
800 WEATHERLY DR, SUITE 101A, CLARKSVILLE, TN 37043-8957
(931) 647-6561
(931) 906-1254

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0000002293
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2160660
PK
05
3562433
TN
Enumeration date
09/14/2006
Last updated
10/13/2023
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