TULLAHOMA DRUG STORE INC
100 Westside Dr
Tullahoma, TN 37388
931-455-5409
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
N | 3336C0004X | Suppliers - Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | TN | 1176 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1454329 | TN | MEDICAID | |
PK | 2096146 | OTHER |