Organization
RESTORE RX INC
Active
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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