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General NPI Number Information
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NPI Number | 1265992291
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Entity Type | Organization
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Legal Business Name | GETWELL PHARMACY OF TENNESSEE, INC.
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 06/16/2019
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Provider Practice Location Address
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Address Line | 210 E COMMERCE ST STE 4
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City | HERNANDO
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State | MS
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Zip | 38632-2308
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Country | US
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Telephone | 662-352-8470
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Fax | 662-352-8878
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Provider Business Mailing Address
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Address Line | 8856 CALKINS HILL CV
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City | GERMANTOWN
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State | TN
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Zip | 38139-6571
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Country | US
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Telephone | 901-328-1475
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICK A CHAMBERS
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Credential |
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Telephone | 901-481-1511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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