Healthcare Provider Details
I. General information
NPI: 1033051297
Provider Name (Legal Business Name): PHARMACIST ON CALL LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1107 BRADYVILLE PIKE
MURFREESBORO TN
37130-5634
US
IV. Provider business mailing address
1107 BRADYVILLE PIKE
MURFREESBORO TN
37130-5634
US
V. Phone/Fax
- Phone: 615-562-6337
- Fax: 615-369-8759
- Phone: 615-562-6337
- Fax: 615-369-8759
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR1300X |
| Taxonomy | Rural Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SHAWN
D
PRUITT
SR.
Title or Position: CEO
Credential: PHARM.D.
Phone: 615-562-6337