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State Of Tennessee
Clinic Pharmacy in Columbia, Tennessee
NPI 1881707537

State Of Tennessee is a Clinic Pharmacy based in Columbia, TN and is specialized in Clinic Pharmacy. State Of Tennessee practices in Columbia, TN. The NPI Number for State Of Tennessee is 1881707537 and holds a License No. 0000002135 (Tennessee).

The current practice location address for State Of Tennessee is 1216 Trotwood Ave, Columbia, TN and can be reached out via phone at 931-490-8366 and via fax at 931-380-3364. You can also correspond with State Of Tennessee through the mailing address at 1216 TROTWOOD AVE, COLUMBIA, TN - 38401-6406 (mailing address contact number: 931-490-8366).

Location: 1216 Trotwood Ave, Columbia, TN, 38401-6406
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881707537
Provider Name
State Of Tennessee
Credential
Provider Entity Type
Organization
Address
1216 Trotwood Ave, Columbia, TN, 38401-6406
Phone Number
931-490-8366
Fax Number
931-380-3364
Provider Enumeration Date
08/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4440640 01 TN NCPDP
institution
Provider Business Practice Location Address Details
Address
1216 Trotwood Ave
City
Columbia
State
Tennessee
Zip
38401-6406
Phone Number
931-490-8366
Fax Number
931-380-3364
person
Provider Business Mailing Address Details
Address
1216 Trotwood Ave
City
Columbia
State
Tennessee
Zip
38401-6406
Phone Number
931-490-8366
Fax Number
931-380-3364
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
0000002135 (Tennessee)
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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