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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