Lewisburg Compounding Center
Pharmacy, Community/Retail Pharmacy in Lewisburg, TN. Organization (NPI-2).
NPI number1508904590
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1508904590
- Entity type
- Organization (NPI-2)
- Legal business name
- Lewisburg Compounding Center
- Organization subpart
- No
- Enumeration date
- Feb 2, 2007
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | 1752 | TN |
Other names
- Medicine Shoppe (Doing Business As)
Practice location
733 W Commerce StLewisburg, TN 37091-3231
Phone 931-359-1383 · Fax 931-359-1386
Mailing address
733 W Commerce StLewisburg, TN 37091-3231
Phone 931-359-1383 · Fax 931-359-1386
Authorized official
Dena Ferman
Third Party Plan Coordinator
3149936000
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