Tennessee Cvs Pharmacy LLC

NPI #1700989415 in Jasper, Tennessee

Provider Information

NPI Number
1700989415
Entity Type
Organization
Organization Name
Tennessee Cvs Pharmacy LLC
Primary Specialty
Pharmacy
Enumeration Date
Sep 7, 2006
Last Updated
Nov 3, 2011

Practice Location

Address
4712 MAIN ST
City
Jasper
ZIP Code
37347-3662
Phone
(423) 942-3674

Authorized Official

Name
SUSAN F COLBERT
Title
DIRECTOR, PAYER RELATIONS
Phone
(401) 770-2751

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Pharmacy

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