GEORG E HOOTON & ROBERT K GALLOWAY III PTR MANOR PHARMACY
Medical Equipment Supplier Yellow Pages
Hermitage, Tennessee
Provider NPI: 1174670129
Organization Information:Organization Name: GEORG E HOOTON & ROBERT K GALLOWAY III PTR MANOR PHARMACY
Practice Location:
4343 LEBANON PIKE SUITE #114 HERMITAGE, TN 37076 US
Tel: 615-883-5169 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
4343 LEBANON PIKE SUITE #114 HERMITAGE, TN 37076 US
Tel: 615-883-5169 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332BP3500X | Suppliers Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | TN | 0000000688 |
N | 332BX2000X | Suppliers Durable Medical Equipment & Medical Supplies | TN | 0000000688 |
Y | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | TN | 0000000688 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
68401 | TN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin