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TULLAHOMA DRUG STORE INC

Medical Equipment Supplier Yellow Pages

Tullahoma, Tennessee

Provider NPI: 1073605713

Organization Information:
Organization Name:  TULLAHOMA DRUG STORE INC


Practice Location:
100 WESTSIDE DR  TULLAHOMA, TN 37388 US
Tel: 931-455-5409  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
N3336C0004XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
TN1176

Other Provider Identifiers:

IssuerNumberStateType
1454329TN05
PK209614601
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




JOBS TN - Page 1



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