Organization
SMYRNA DRUG LP
Active
Other names
STONECREST REXALL DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN LEE COLE (OWNER PHARMACIST)
(615) 459-3411
Entity
Organization
Contact information
Practice address
300 STONECREST BLVD STE 130, SMYRNA, TN 37167-5689
(615) 459-5117
(615) 459-5106
Mailing address
300 STONECREST BLVD STE 130, SMYRNA, TN 37167-5689
(615) 459-5117
(615) 459-5106
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
3924
TN
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4436831
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/16/2006
Last updated
02/11/2008
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