Maynardville Pharmacy INC
NPI #1396766366 in Maynardville, Tennessee
Provider Information
- NPI Number
- 1396766366
- Entity Type
- Organization
- Organization Name
- Maynardville Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 22, 2006
- Last Updated
- Apr 13, 2020
Practice Location
- Address
- 4221 MAYNARDVILLE HWY
- City
- Maynardville
- State
- Tennessee
- ZIP Code
- 37807-3555
- Phone
- (865) 992-9455
Authorized Official
- Name
- RAJENDRAPRASAD VENIGALLA
- Title
- SECRETARY
- Phone
- (347) 528-8893
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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