Organization
APOTHECARY CONSULTANTS LLC
Active
Organization
APOTHECARY CONSULTANTS LLC
Active
Other names
Main Street Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA ROBERTS ETHERIDGE (OWNER)
(731) 925-6246
Entity
Organization
Contact information
Practice address
110 MAIN ST, SAVANNAH, TN 38372-2412
(731) 925-6246
(731) 925-6247
Mailing address
110 MAIN ST, SAVANNAH, TN 38372-2412
(731) 925-6246
(731) 925-6247
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4610
TN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1532003
—
TN
01
—
2118962
PK
—
Enumeration date
02/19/2009
Last updated
10/02/2023
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