Organization
ASHLAND CITY PHARMACY LLC
Active
Other names
Ashland City Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES JACOBS PHARMD (OWNER)
(901) 857-5269
Entity
Organization
Contact information
Practice address
605 N MAIN ST, SUITE A, ASHLAND CITY, TN 37015-1320
(615) 246-1422
(615) 246-1423
Mailing address
605 N MAIN ST, SUITE A, ASHLAND CITY, TN 37015-1320
(615) 246-1422
(615) 246-1423
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q047718
—
TN
Enumeration date
12/10/2018
Last updated
02/28/2022
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