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CAVALIER PHARMACY LLC

Compounding Pharmacy

Alamo, Tennessee

Provider NPI: 1760783641

Organization Information:
Organization Name:  CAVALIER PHARMACY LLC


Practice Location:
8 N CAVALIER DR SUITE A ALAMO, TN 38001 US
Tel: 731-696-4000  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
TN4823
N3336S0011XSuppliers
Pharmacy
N3336C0004XSuppliers
Pharmacy

Other Provider Identifiers:

IssuerNumberStateType
PK212732701
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




PHARMACY JOBS TN - Page 1



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