Healthcare Provider Details

I. General information

NPI: 1225187321
Provider Name (Legal Business Name): PALMER DRUGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 09/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

571 MAIN ST
PALMER TN
37365
US

IV. Provider business mailing address

PO BOX 370 571 MAIN ST
PALMER TN
37365
US

V. Phone/Fax

Practice location:
  • Phone: 931-779-3966
  • Fax: 931-779-3962
Mailing address:
  • Phone: 931-779-3966
  • Fax: 931-779-3962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: MRS. VALERIE JEAN SANDERS
Title or Position: MEMBER OWNER
Credential:
Phone: 931-779-3966