Organization
RESTORE RX INC
Active
Other names
Restore Rx, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE MICHELLE RYAN PHARMD (GENERAL MANAGER)
(855) 265-8008
Entity
Organization
Contact information
Practice address
5169 BRUNSWICK RD #305, BRUNSWICK, TN 38014
(901) 388-0507
(901) 388-0407
Mailing address
PO BOX 305, BRUNSWICK, TN 38014-0305
(901) 388-0507
(901) 388-0407
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
4578
TN
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117613
PK
—
Enumeration date
10/30/2008
Last updated
04/12/2022
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