Organization
MUGFORD PHARMACY INC.
Active
Organization
MUGFORD PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A DUBAN (SECTARY)
(865) 577-5533
Entity
Organization
Contact information
Practice address
3909 MARTIN MILL PIKE, KNOXVILLE, TN 37920-2456
(865) 577-5533
(865) 577-9959
Mailing address
3909 MARTIN MILL PIKE, KNOXVILLE, TN 37920-2456
(865) 577-5533
(865) 577-9959
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
568
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4407943
NCPDP NUMBER
TN
01
—
568
PHARMACY LICENSE
TN
Enumeration date
02/12/2007
Last updated
03/07/2023
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