Healthcare Provider Details

I. General information

NPI: 1255685384
Provider Name (Legal Business Name): SCOTTS HILL DISCOUNT DRUGS,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2012
Last Update Date: 01/28/2021
Certification Date: 01/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 HIGHWAY 114 SOUTH
SCOTTS HILL TN
38374-5023
US

IV. Provider business mailing address

148 W CHURCH ST
LEXINGTON TN
38351
US

V. Phone/Fax

Practice location:
  • Phone: 731-549-3927
  • Fax: 731-549-2323
Mailing address:
  • Phone: 731-968-4201
  • Fax: 731-967-5222

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: SAMUEL D PACE
Title or Position: OWNER
Credential: PHARMD
Phone: 731-614-4259