Healthcare Provider Details

I. General information

NPI: 1265992291
Provider Name (Legal Business Name): GETWELL PHARMACY OF TENNESSEE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2019
Last Update Date: 06/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 E COMMERCE ST STE 4
HERNANDO MS
38632-2308
US

IV. Provider business mailing address

8856 CALKINS HILL CV
GERMANTOWN TN
38139-6571
US

V. Phone/Fax

Practice location:
  • Phone: 662-352-8470
  • Fax: 662-352-8878
Mailing address:
  • Phone: 901-328-1475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RICK A CHAMBERS
Title or Position: PRESIDENT
Credential:
Phone: 901-481-1511