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NPI Code Detail

MEDICARE: BUCKEYE DRUGS WELLNESS LLC

MEDICARE: BUCKEYE DRUGS WELLNESS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0002XClinic Pharmacy
2363LF0000XFamily Nurse Practitioner
3261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1245156314
Entity Type Code : Organization
Provider Name (Legal Business Name) : BUCKEYE DRUGS WELLNESS LLC
Provider Business Mailing Address
First Line : 315 N CUMBERLAND ST
Second Line :
City : LEBANON
State : TN
Zip : 37087-2720
Country : US
Telephone Number : 615-444-2999
Fax Number : 615-449-5364
Provider Business Practice Location Address
First Line : 315 N CUMBERLAND ST
Second Line :
City : LEBANON
State : TN
Zip : 37087-2720
Country : US
Telephone Number : 615-444-2999
Fax Number : 615-449-5364
Authorized Official
Title or Position : CEO
Name : CORY MCDONALD
Credential : PHARMD
Telephone Number : 615-444-2999
Provider Enumeration Date : 06/24/2026
Last Update Date : 06/24/2026

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Directions to “BUCKEYE DRUGS WELLNESS LLC ” Practice Location

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