Organization
WHITE BLUFF PRESCRIPTION LLC
Active
Organization
WHITE BLUFF PRESCRIPTION LLC
Active
Other names
White Bluff Prescription LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARCEE MCCALLISTER (PARTNER)
(615) 797-5899
Entity
Organization
Contact information
Practice address
4516 HWY 70 E, WHITE BLUFF, TN 37187-9220
(615) 797-5899
(615) 797-5898
Mailing address
PO BOX 637, WHITE BLUFF, TN 37187-0637
(615) 797-5899
(615) 797-5898
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
000004620
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4442137
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/10/2009
Last updated
01/04/2012
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