Organization
CLOVER BOTTOM DEVELOPMENTAL CENTER
Active
Organization
CLOVER BOTTOM DEVELOPMENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES CASS (PHARMACY DIRECTOR)
(615) 231-5528
Entity
Organization
Contact information
Practice address
275 STEWARTS FERRY PIKE, NASHVILLE, TN 37214-3325
(615) 231-5065
(615) 231-5316
Mailing address
275 STEWARTS FERRY PIKE, NASHVILLE, TN 37214-3325
(615) 231-5316
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
856
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7447010
—
TN
Enumeration date
10/19/2006
Last updated
08/22/2020
Update your record
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