Olde Towne Pharmacy Inc

NPI 1275622961 - Pharmacy - 333600000X

NPI Details
NPI 1275622961
Enumeration Date 10/12/2006
Last Updated 10/06/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name M KENT M KENT
Position OWNER
Phone (423) 753-4446
Fax (423) 753-4587
Practice Location
102 W JACKSON BLVD
JONESBOROUGH TN, 37659-1224, US
Phone (423) 753-4446
Fax (423) 753-4587
Business Location
102 W JACKSON BLVD
JONESBOROUGH TN, 37659-1224, US
Phone (423) 753-4446
Fax (423) 753-4587
Toxanomy
Taxonomy Code 333600000X
License State
License Number
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According to our database, Olde Towne Pharmacy Inc NPI is 1275622961, taxonomy code is 333600000X Olde Towne Pharmacy Inc physically located at 102 W Jackson Blvd, Jonesborough TN, 37659-1224. NPI Number 1033115704 has the healthcare provider type.

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1275622961 NPI number is provided on an as is basis without warranty of any kind. 1275622961 is maintained by the National Plan & Provider Enumeration System. The contents of Olde Towne Pharmacy Inc are for informational purposes only.