Healthcare Provider Details

I. General information

NPI: 1528033842
Provider Name (Legal Business Name): APOTHECARY ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 10/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 MADISON ST.
CLARKSVILLE TN
37040
US

IV. Provider business mailing address

1500 MADISON ST.
CLARKSVILLE TN
37040
US

V. Phone/Fax

Practice location:
  • Phone: 931-552-2552
  • Fax: 931-551-8198
Mailing address:
  • Phone: 931-552-2552
  • Fax: 931-551-8198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number2279
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number2279
License Number StateTN
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number2279
License Number StateTN

VIII. Authorized Official

Name: KATINA RENEA SYKES
Title or Position: PIC/OWNER
Credential:
Phone: 931-552-2552