Organization
PERSONAL PHARMACY CARE LLC
Active
Other names
PPC-Rx
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CASEY AUSTIN PHARM D (DIRECTOR OF PHARMACY)
(731) 610-8273
Entity
Organization
Contact information
Practice address
11272 HIGHWAY 57, COUNCE, TN 38326-3802
(731) 689-0223
(731) 689-0253
Mailing address
11272 HIGHWAY 57, COUNCE, TN 38326-3802
(731) 689-0223
(731) 689-0253
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
08368/7.1
MS
3336L0003X
Long Term Care Pharmacy
Primary
113361
AL
3336L0003X
Long Term Care Pharmacy
4706
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04326518
—
MS
05
—
118443
—
AL
05
—
1992032288
—
TN
01
—
2122728
PK
—
05
—
52757579
—
CO
Enumeration date
11/08/2009
Last updated
01/10/2020
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