Organization
RONNIE F VISE
Active
Other names
VISES DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE VISE (OWNER)
(731) 847-3784
Entity
Organization
Contact information
Practice address
179 TENNESSEE AVE N, PARSONS, TN 38363-2002
(731) 847-3784
(731) 847-6167
Mailing address
179 TENNESSEE AVE N, PARSONS, TN 38363-2002
(731) 847-3784
(731) 847-6167
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1418
TN
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2089423
PK
—
05
—
3556612
—
TN
Enumeration date
05/08/2006
Last updated
11/30/2021
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