La Vergne Drug Inc
Organization Active NPI Pharmacy · La Vergne, TN
NPI 1164563896 · NPPES record last updated Nov 29, 2011
Key facts
- NPI
- 1164563896
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- 3988 (TN)
- Legal business name
- LA VERGNE DRUG INC
- Practice address
- 5148B Murfreesboro Rd
La Vergne, TN 37086-2712 - Phone
- (615) 213-1203
- Fax
- (615) 213-1530
- NPI assigned
- Feb 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Jerry Eledge, DPH
- Title
- President
- Phone
- (615) 213-1203
National Provider Directory
Locations
5148B Murfreesboro Rd
La Vergne, TN 37086
Phone (615) 213-1203
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | TN | ||
| Pharmacy | 333600000X | 3988 | TN | Yes |
Addresses
Primary practice location
5148B Murfreesboro Rd
La Vergne, TN 37086-2712
Mailing address
PO Box 1358
La Vergne, TN 37086-1358
Phone (615) 213-1203
Other names
- La Vergne Drug Store
Other providers in La Vergne, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.