Organization
FAMILY MEDICAL CENTER PHARMACY INC
Active
Other names
Family Medical Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE DAUGHTRY (PRESIDENT)
(615) 597-4988
Entity
Organization
Contact information
Practice address
300 N CONGRESS BLVD, SMITHVILLE, TN 37166-2704
(615) 597-4988
(615) 597-5321
Mailing address
300 N CONGRESS BLVD, SMITHVILLE, TN 37166-2704
(615) 597-4988
(615) 597-5321
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1125
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4400646
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/02/2006
Last updated
12/01/2011
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