Organization
MIX IT UP BEVERAGE CO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANIYA GARVIN (OWNER)
(414) 578-9717
Entity
Organization
Contact information
Practice address
850 NW BROAD ST, MURFREESBORO, TN 37129-2740
(414) 512-1922
Mailing address
2308 ORWELL ST, MURFREESBORO, TN 37129-3568
(414) 578-9717
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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