Roane Pharmacy INC
Pharmacy in Jacksboro, TN. Organization (NPI-2).
NPI number1457716144
StatusActive
Last updated in NPPESMar 3, 2016
Details
- NPI
- 1457716144
- Entity type
- Organization (NPI-2)
- Legal business name
- Roane Pharmacy INC
- Organization subpart
- No
- Enumeration date
- Dec 22, 2015
- Last updated
- Mar 3, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 5646 | TN | Yes |
| 3336M0002X | Pharmacy, Mail Order Pharmacy | – | – |
Other names
- Union Pharmacy (Doing Business As)
Practice location
112 Jane Way Ln Ste 1Jacksboro, TN 37757-2704
Phone 251-232-0590
Mailing address
Po Box 695Coden, AL 36523-0695
Phone 251-232-0590
Authorized official
Lynn Huynh
Owner
2512320590
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