Maynardville Drug LLC
NPI #1053963975 in Maynardville, Tennessee
Provider Information
- NPI Number
- 1053963975
- Entity Type
- Organization
- Organization Name
- Maynardville Drug LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 11, 2019
- Last Updated
- Jan 6, 2021
Practice Location
- Address
- 2975 MAYNARDVILLE HWY
- City
- Maynardville
- State
- Tennessee
- ZIP Code
- 37807
- Phone
- (865) 658-5353
Authorized Official
- Name
- MICHELLE SIMMONS HALFORD, PHARM D.
- Title
- OWNER/PIC
- Phone
- (865) 278-7895
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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