Organization
HEALTH CARE PHARMACY
Active
Other names
William Michael Richardson
Organization subpart
No
Provider details
NPI number
Authorized official
MORGAN BAKER PHARMD (PHARMACIST/OWNER)
(731) 608-6302
Entity
Organization
Contact information
Practice address
505 ROLAND AVE, JACKSON, TN 38301
(731) 423-2273
(731) 423-2174
Mailing address
505 ROLAND AVE, JACKSON, TN 38301
(731) 423-2273
(731) 423-2174
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
00001458
TN
3336C0003X
Community/Retail Pharmacy
Primary
1458
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2089445
PK
—
Enumeration date
10/26/2006
Last updated
03/16/2018
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