Organization
LARCO MEDICAL INC
Active
Other names
Larco Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY CHAFFIN (PRESIDENT/CEO)
(931) 528-7573
Entity
Organization
Contact information
Practice address
406 N WHITNEY AVE STE 1, COOKEVILLE, TN 38501-4243
(931) 528-7573
(931) 526-6383
Mailing address
406 N WHITNEY AVE STE 1, COOKEVILLE, TN 38501-4243
(931) 528-7573
(931) 526-6383
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
3762
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160886
PK
—
Enumeration date
07/13/2016
Last updated
11/02/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us