Organization · NPI-2
Airville Pharmacy, LLC
Pharmacy, Community/Retail Pharmacy · Gallatin, TN
NPI number1538726211
StatusActive
Last updated in NPPESMay 29, 2019
Details
- NPI
- 1538726211
- Entity type
- Organization (NPI-2)
- Legal business name
- Airville Pharmacy, LLC
- Organization subpart
- Yes
- Enumeration date
- May 29, 2019
- Last updated
- May 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 3336C0004X | Pharmacy, Compounding Pharmacy | – | – |
Other names
- Airville Pharmacy (Doing Business As)
Practice location
1785 Airport Rd Ste AGallatin, TN 37066-3740
Phone 615-675-5507 · Fax 615-206-8255
Mailing address
1010 Merrick RdHendersonville, TN 37075-1721
Phone 615-587-8203
Authorized official
Ugochukwu Ben-Nwauzor
Ceo/President
6155878203
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