Organization
COMMUNITY PHARMACY LLC
Active
Organization
COMMUNITY PHARMACY LLC
Active
Other names
Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY AFAMEFUNA OKONKWO PHARM. D (MEMBER)
(267) 809-1401
Entity
Organization
Contact information
Practice address
1805 N JACKSON ST STE 8, TULLAHOMA, TN 37388-2275
(931) 571-8644
(931) 571-8706
Mailing address
1805 N JACKSON ST STE 8, TULLAHOMA, TN 37388-1821
(931) 571-8644
(931) 571-8706
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
34222
TN
3336C0004X
Compounding Pharmacy
34222
TN
Other
Enumeration date
04/15/2011
Last updated
02/17/2012
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