Organization
DANNY B DEDMON
Active
Organization
DANNY B DEDMON
Active
Other names
CITY DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANNY B DEDMON D.PH (OWNER-PHARMACIST)
(731) 285-7284
Entity
Organization
Contact information
Practice address
101 S MILL AVE, DYERSBURG, TN 38024-4636
(731) 285-7284
(731) 285-8959
Mailing address
101 S MILL AVE, P O DRAWER C, DYERSBURG, TN 38024-4636
(731) 285-7284
(731) 285-8959
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0339
PHARMACY LICENSE
TN
05
—
1452252
—
TN
01
—
4406129
NABP -NCPDP
TN
Enumeration date
12/16/2006
Last updated
03/07/2023
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