Nuckolls Drug Stores, Inc

NPI 1013068220 - Pharmacy - 3336C0003X

NPI Details
NPI 1013068220
Enumeration Date 01/15/2007
Last Updated 02/14/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name FREEMAN HUNTER FREEMAN
Position PRESIDENT
Phone (731) 658-2941
Fax (731) 658-1758
Practice Location
407 W LAFAYETTE ST
BOLIVAR TN, 38008-2651, US
Phone (731) 658-2941
Fax (731) 658-1758
Business Location
407 W LAFAYETTE ST
BOLIVAR TN, 38008-2651, US
Phone (731) 658-2941
Fax (731) 658-1758
Toxanomy
Taxonomy Code 3336C0003X
License State Tennessee
License Number 1253
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According to our database, Nuckolls Drug Stores, Inc NPI is 1013068220, taxonomy code is 3336C0003X and license number is 1253, license state is located at Tennessee. Nuckolls Drug Stores, Inc physically located at 407 W Lafayette St, Bolivar TN, 38008-2651. NPI Number 1033115704 has the healthcare provider type.

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1013068220 NPI number is provided on an as is basis without warranty of any kind. 1013068220 is maintained by the National Plan & Provider Enumeration System. The contents of Nuckolls Drug Stores, Inc are for informational purposes only.