Organization
CHARLES L PORTER
Active
Other names
BRIGHTON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES PORTER RPH (OWNER,PIC,AO)
(731) 635-5036
Entity
Organization
Contact information
Practice address
1880 OLD HIGHWAY 51 S, BRIGHTON, TN 38011-8025
(901) 837-8981
(901) 837-8986
Mailing address
1880 OLD HIGHWAY 51 S, BRIGHTON, TN 38011-8025
(901) 837-8981
(901) 837-8986
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000004268
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2095007
PK
—
Enumeration date
05/12/2006
Last updated
02/20/2017
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