Healthcare Provider Details

I. General information

NPI: 1447692850
Provider Name (Legal Business Name): TRUE CARE PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2013
Last Update Date: 03/17/2022
Certification Date: 03/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2235 HIGHWAY 79
BIG ROCK TN
37023-3070
US

IV. Provider business mailing address

2235 HIGHWAY 79
BIG ROCK TN
37023-3070
US

V. Phone/Fax

Practice location:
  • Phone: 931-232-4008
  • Fax: 931-232-8844
Mailing address:
  • Phone: 931-232-4008
  • Fax: 931-232-8844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number5217
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL HOOVER
Title or Position: OWNER/BUSINESS MANAGER
Credential:
Phone: 931-232-4008