City Drug Institutional Care
Organization Active NPI Long Term Care Pharmacy · Henderson, TN
NPI 1649475252 · NPPES record last updated Sep 13, 2007
Key facts
- NPI
- 1649475252
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- License
- TN4396 (TN)
- Legal business name
- CITY DRUG INSTITUTIONAL CARE
- Practice address
- 118 E Main St
Ste C
Henderson, TN 38340-2335 - Phone
- (731) 989-2166
- Fax
- (731) 989-9685
- NPI assigned
- Jun 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Deryl Stewart, PHRMD
- Title
- President
- Phone
- (731) 989-2166
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- City Drug Institutional Care
Locations
118 E Main St
Ste C
Henderson, TN 38340
Phone (731) 989-2166
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | TN4396 | TN | Yes |
Addresses
Primary practice location
118 E Main St
Ste C
Henderson, TN 38340-2335
Mailing address
PO Box 224
Henderson, TN 38340-0224
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4440513 | Other | OTHER ID NUMBER |
Other providers in Henderson, TN
- Rachael Canady
- Kenneth Rowland Cargile
- Charles E Rickard Jr FNP PC
- Melissa Cherry
- Chester Co Healthcare, Inc.
- City Drug Medical Equipment, LLC
- City Drug Store Inc
- City Drug Store Inc
- Stephanie M Coley
- Shirley Ann Collier
All providers in Henderson, TN · Long Term Care Pharmacy in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2007. 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.