Organization
PULMONAIRE SERVICE PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN WILSON (CHIEF PHARMACIST)
(423) 265-3333
Entity
Organization
Contact information
Practice address
821 MCCALLIE AVE, CHATTANOOGA, TN 37403-2613
(423) 265-3333
(426) 266-9254
Mailing address
821 MCCALLIE AVE, CHATTANOOGA, TN 37403-2613
(423) 265-3333
(426) 266-9254
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2054
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9449563
—
TN
Enumeration date
10/04/2006
Last updated
06/18/2009
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