STATE OF TENNESSEE
810 W Church St
Greeneville, TN 37745
423-798-1749
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0002X | Suppliers - Pharmacy - Clinic Pharmacy |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP | 4440854 | TN | OTHER |