Organization
CENOVA PHARMACEUTICAL CARE
Active
Other names
Cenova Pharmaceutical Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES POTEET (PRESIDENT)
(423) 877-4307
Entity
Organization
Contact information
Practice address
1603 HAMILL RD, HIXSON, TN 37343-4902
(423) 877-4307
(423) 877-9255
Mailing address
1603 HAMILL RD, HIXSON, TN 37343-4902
(423) 877-4307
(423) 877-9255
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
4644
TN
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4442288
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/23/2009
Last updated
01/19/2010
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