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Organization

ROLLER PHARMACY INC

Active
Other names
ROLLER PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
TERRY ROLLER DPH (PRESIDENT)
(423) 743-7105
Entity
Organization

Contact information

Practice address
109 N MAIN AVE, ERWIN, TN 37650-1255
(423) 743-7105
(423) 743-7167
Mailing address
109 N MAIN AVE, ERWIN, TN 37650-1255
(423) 743-7105
(423) 743-7167

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
361
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0445536
NC
01
2095464
PK
05
3514702
TN
05
3913066
TN
Enumeration date
03/05/2007
Last updated
06/21/2016
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