Jeff City Pharmacist Group LLC DBA MD Pharmacy Store 2
NPI #1073979522 in Jefferson City, Tennessee
Provider Information
- NPI Number
- 1073979522
- Entity Type
- Organization
- Organization Name
- Jeff City Pharmacist Group LLC DBA MD Pharmacy Store 2
- Primary Specialty
- Pharmacy
- Enumeration Date
- Jan 13, 2016
- Last Updated
- May 28, 2020
Practice Location
- Address
- 657 E BROADWAY BLVD
- City
- Jefferson City
- State
- Tennessee
- ZIP Code
- 37760
- Phone
- (865) 262-9777
Authorized Official
- Name
- JOSHUA R BLAKE, PHARMD
- Title
- PIC
- Phone
- (865) 262-9777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy |
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