Organization
CANNON COUNTY HOSPITAL LLC
Active
Other names
DEKALB COMMUNITY HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH CANTRELL PHRMD (DIR OF PHCY)
(615) 215-5480
Entity
Organization
Contact information
Practice address
520 W MAIN ST, SMITHVILLE, TN 37166-1138
(615) 215-5480
(615) 215-5615
Mailing address
PO BOX 640, SMITHVILLE, TN 37166-0640
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
162
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4440727
OTHER ID NUMBER
—
Enumeration date
10/25/2007
Last updated
11/01/2007
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