Community Pharmacy of Smyrna LLC

NPI #1164100053 in Smyrna, Tennessee

Provider Information

NPI Number
1164100053
Entity Type
Organization
Organization Name
Community Pharmacy of Smyrna LLC
Subpart
Yes (part of a larger organization)
Parent Organization
CUSTOM HEALTH INC
Primary Specialty
Pharmacy - Long Term Care Pharmacy
Enumeration Date
Jul 10, 2023
Last Updated
Apr 17, 2024

Practice Location

Address
300 STONECREST BLVD STE 130
City
Smyrna
ZIP Code
37167-5689
Phone
(615) 459-5335

Authorized Official

Name
JOSHUA DOTY WILSON
Title
BUSINESS DEVELOPMENT MANAGER
Phone
(903) 520-1567

Specialties & Taxonomy Codes

Specialty
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy

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