Organization
GREENE COUNTY DRUG STORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJIE L. COX DPH (OWNER/PHARMACIST)
(423) 638-7101
Entity
Organization
Contact information
Practice address
906 TUSCULUM BLVD, GREENEVILLE, TN 37745-4004
(423) 638-7101
(423) 638-9105
Mailing address
906 TUSCULUM BLVD, GREENEVILLE, TN 37745-4004
(423) 638-7101
(423) 638-9105
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2221
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454457
—
TN
Enumeration date
07/10/2006
Last updated
10/09/2018
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