Organization
DIXIE PHARMACY-4 LLC
Active
Other names
DIXIE PHARMACY-4
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NAVAS YOONUS (CEO)
(615) 525-3142
Entity
Organization
Contact information
Practice address
124 N MAIN ST, SMITHS GROVE, KY 42171-8323
(615) 525-3142
Mailing address
124 N MAIN ST, SMITHS GROVE, KY 42171-8323
(615) 525-3142
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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