MEDICARE: TAKE CHARGE NUTRITION, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0002X	Clinic Pharmacy

General Provider Information

NPI Number	:	1932764941
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAKE CHARGE NUTRITION, LLC

Provider Business Mailing Address
First Line	:	7206 DALTON PIKE SE
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37323-9124
Country	:	US
Telephone Number	:	423-284-9478
Fax Number	:	423-559-3011

Provider Business Practice Location Address
First Line	:	1690 25TH ST NW STE D
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37311-3613
Country	:	US
Telephone Number	:	800-782-3444
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	DAVID TERRY FORSHEE
Credential	:	RPH
Telephone Number	:	800-782-3444

Provider Enumeration Date	:	05/06/2019
Last Update Date	:	06/11/2019

Similar Medicare Providers

1134808397 — CLEVELAND WORX LLC
Practice Location Address:

1525 25TH ST NW
CLEVELAND, TN
37311-3613

Practice Phone: 423-559-3000
Practice Fax:

1811187115 — CHAD SMITH
Practice Location Address:

1525 25TH ST NW
CLEVELAND, TN
37311-3613

Practice Phone: 423-559-3000
Practice Fax:

1629845367 — CLEVELAND WORX LLC
Practice Location Address:

1525 25TH ST NW
CLEVELAND, TN
37311-3613

Practice Phone: 423-559-3000
Practice Fax:

1689603532 — CHEROKEE HEALTH CARE SUPPLY INC
Practice Location Address:

1690 25TH ST NW , SUITE B
CLEVELAND, TN
37311-3613

Practice Phone: 423-559-3010
Practice Fax: 423-559-3011

1316088289 — FORSHEE- CARDER PHARMACY, INC
Practice Location Address:

1690 25TH ST NW
CLEVELAND, TN
37311-3613

Practice Phone: 423-559-3013
Practice Fax: 423-559-3007

1093551426 — DREW SMITH
Practice Location Address:

1690 25TH ST NW STE A
CLEVELAND, TN
37311-3613

Practice Phone: 423-559-3000
Practice Fax:

Directions to “TAKE CHARGE NUTRITION, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.