Jellico Drug Store INC

NPI #1093753196 in Jellico, Tennessee

Provider Information

NPI Number
1093753196
Entity Type
Organization
Organization Name
Jellico Drug Store INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jun 2, 2006
Last Updated
Sep 1, 2015

Practice Location

Address
229 S MAIN ST
ZIP Code
37762-2018
Phone
(423) 784-6226

Authorized Official

Name
MR. JOHN BAIRD
Title
OWNER / PHARMACIST / PRESIDENT
Phone
(423) 784-6226

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral NutritionParenteral & Enteral Nutrition
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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