State of Tennessee

NPI #1881707537 in Columbia, Tennessee

Provider Information

NPI Number
1881707537
Entity Type
Organization
Organization Name
State of Tennessee
Primary Specialty
Pharmacy - Clinic Pharmacy
Enumeration Date
Aug 16, 2006
Last Updated
Sep 25, 2012

Practice Location

Address
1216 TROTWOOD AVE
ZIP Code
38401-6406
Phone
(931) 490-8366

Authorized Official

Name
BARBARA J WHITWELL
Title
OFFICE SUPERVISOR
Phone
(931) 490-8334

Specialties & Taxonomy Codes

Specialty
Pharmacy - Clinic PharmacyClinic Pharmacy

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