Organization
GEORGE E HOOTEN & ROBERT K GALLOWAY III PTR MANOR PHARMACY
Active
Organization
GEORGE E HOOTEN & ROBERT K GALLOWAY III PTR MANOR PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE EDWARD HOOTEN DPH (PHARMACIST - OWNER)
(615) 883-5522
Entity
Organization
Contact information
Practice address
4343 LEBANON PIKE, SUITE 100, HERMITAGE, TN 37076-1221
(615) 883-5522
(615) 885-0402
Mailing address
4343 LEBANON PIKE, SUITE 100, HERMITAGE, TN 37076-1221
(615) 883-5522
(615) 885-0402
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
276
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68401
—
TN
Enumeration date
10/24/2006
Last updated
06/13/2008
Update your record
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