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Southern Express Pharmacy
Pharmacy in Bolivar, Tennessee
NPI 1073078481

Southern Express Pharmacy is a Pharmacy based in Bolivar, TN. Southern Express Pharmacy practices in Bolivar, TN. The NPI Number for Southern Express Pharmacy is 1073078481 and holds a License No. (Tennessee).

The current practice location address for Southern Express Pharmacy is 1355 W Market St, Bolivar, TN and can be reached out via phone at 731-472-1011 and via fax at 423-661-7602.

Location: 1355 W Market St, Bolivar, TN, 38008-1715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073078481
Provider Name
Southern Express Pharmacy
Credential
Provider Entity Type
Organization
Address
1355 W Market St, Bolivar, TN, 38008-1715
Phone Number
731-472-1011
Fax Number
423-661-7602
Provider Enumeration Date
02/10/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00006619 01 TN TN BOARD OF PHARMACY LICENSE NUMBER
Q048235 05 TN
institution
Provider Business Practice Location Address Details
Address
1355 W Market St
City
Bolivar
State
Tennessee
Zip
38008-1715
Phone Number
731-472-1011
Fax Number
423-661-7602
person
Provider Business Mailing Address Details
Address
1355 W Market St
City
Bolivar
State
Tennessee
Zip
38008-1715
Phone Number
731-472-1011
Fax Number
423-661-7602
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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