Organization
PHARMACY AT FAMILY MEDICAL CENTER PLLC
Active
Other names
The Pharmacy at Family Medical Center PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANNAH DAUGHTRY BS PHARMACY (OWNER)
(615) 215-6979
Entity
Organization
Contact information
Practice address
300 N CONGRESS BLVD, SMITHVILLE, TN 37166-2704
(615) 215-6979
(615) 597-6337
Mailing address
300 N CONGRESS BLVD, SMITHVILLE, TN 37166-2704
(615) 215-6979
(615) 597-6337
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000006174
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175748
PK
—
05
—
Q034972
—
TN
Enumeration date
05/05/2017
Last updated
07/19/2018
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