St Bethlehem Drugs INC New Corp
Pharmacy, Long Term Care Pharmacy in Clarksville, TN. Organization (NPI-2).
NPI number1609620558
StatusActive
Last updated in NPPESApr 16, 2024
Details
- NPI
- 1609620558
- Entity type
- Organization (NPI-2)
- Legal business name
- St Bethlehem Drugs INC New Corp
- Organization subpart
- No
- Enumeration date
- Apr 16, 2024
- Certification date
- Apr 16, 2024
- Last updated
- Apr 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | Yes |
Practice location
800 Weatherly Dr Ste 101aClarksville, TN 37043-8958
Phone 931-647-6561 · Fax 931-902-8027
Mailing address
800 Weatherly Dr Ste 101aClarksville, TN 37043-8958
Phone 931-647-6561 · Fax 931-902-8027
Authorized official
James Manuel Holland
Operations Manager
9312898991
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