City Drug Co of Humboldt
Organization Active NPI Pharmacy · Humboldt, TN
NPI 1396721130 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1396721130
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- CITY DRUG CO OF HUMBOLDT
- Practice address
- 1511 E Main St
Humboldt, TN 38343-2901 - Phone
- (731) 784-2724
- Fax
- (731) 784-5801
- NPI assigned
- Dec 22, 2005
- Organization subpart
- No
Authorized official
- Name
- Dr. William David Roe Jr., PHARM D
- Title
- President Pharm D
- Phone
- (731) 784-2724
Corporate family (same tax ID) 1
Practitioners 1
National Provider Directory
- Tax ID family
- City Drug Co
Locations
1511 E Main St
Humboldt, TN 38343
Phone (731) 784-2724
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Yes |
Addresses
Primary practice location
1511 E Main St
Humboldt, TN 38343-2901
Mailing address
1511 E Main St
Humboldt, TN 38343-2901
Phone (731) 784-2724
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8843903 | Other | BC | |
| 4406890 | Other | NABP | |
| 4406890 | Other | TENNCARE |
Other names
- City Drug Co
Other providers in Humboldt, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.