Organization
GREENBRIER PHARMACY LLC
Active
Organization
GREENBRIER PHARMACY LLC
Active
Other names
GREENBRIER PHARMACY & FOUNTAIN
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY MCKEE WILLIAMSON PHARMD (OWNER)
(615) 643-6979
Entity
Organization
Contact information
Practice address
2239 HIGHWAY 41 S STE A, GREENBRIER, TN 37073-4536
(615) 643-6979
(615) 643-6976
Mailing address
2239 HIGHWAY 41 S STE A, GREENBRIER PLAZA, GREENBRIER, TN 37073-4536
(615) 643-6979
(615) 643-6976
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4255
TN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455238
—
TN
01
—
2094990
PK
—
Enumeration date
07/30/2006
Last updated
03/29/2016
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