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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