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Contact Information

COOKEVILLE DISCOUNT PHARMACY
315 N WASHINGTON AVE
STE 130
COOKEVILLE, TN38501-2603
 Phone: 931-528-4634
 Fax: 931-372-1631
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for COOKEVILLE DISCOUNT PHARMACY

NPI # 1588600076
LBN Legal business name COOKEVILLE DISCOUNT PHARMACY
Authorized official JENNIFER CRANFORD - (PHARM D)
Entity Organization
Organization subpart 1 No
Enumeration date 06/21/2006
Last updated 02/01/2008 - About 18 years ago
Identifiers
TN License # 0000003488
TN Medicaid 1454201 TN
Other 4433936 OTHER ID NUMBER-COMMERCIAL NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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