COMPOUNDING PHARMACY OF KINGSTON INC
145 E Race St
Kingston, TN 37763
865-376-6452
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0004X | Suppliers - Pharmacy - Compounding Pharmacy | TN | 3632 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 4435764 | OTHER |