Mulberry Street Pharmacy LLC

NPI #1134313554 in Loudon, Tennessee

Provider Information

NPI Number
1134313554
Entity Type
Organization
Organization Name
Mulberry Street Pharmacy LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Aug 29, 2007
Last Updated
Sep 15, 2011

Practice Location

Address
916 MULBERRY ST
City
Loudon
ZIP Code
37774-1311
Phone
(865) 458-4586

Authorized Official

Name
JOESPH RATLEDGE, PHRMD
Title
PIC
Phone
(865) 458-4586

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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