Organization
DEME CORPORATION
Active
Other names
Roman Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DOUGLAS EVANS (PRESIDENT)
(615) 859-8999
Entity
Organization
Contact information
Practice address
250 LONG HOLLOW PIKE, GOODLETTSVILLE, TN 37072-1880
(615) 859-8999
(615) 859-7799
Mailing address
PO BOX 1267, GOODLETTSVILLE, TN 37070-1267
(615) 859-8999
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3824
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q035792
—
TN
Enumeration date
06/15/2015
Last updated
07/12/2022
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