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Newbern Discount Drug Llc

Newbern Discount Drug Llc is a health care provider in Newbern, TN. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 625 W Main St Ste A, Newbern, TN 38059-1573, US
Practice Location Phone731-627-9573
Practice Location Fax731-627-3051
Legal Business NameNEWBERN DISCOUNT DRUG LLC
NPI ?1851408710
Entity TypeOrganization
Enumeration Date ? Aug 24, 2006
Last Update Date ? May 17, 2011
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Newbern Discount Drug Llc

SpecialtySpecializationLicenseLicense State
Durable Medical Equipment & Medical Supplies

legacy-id-icon Legacy Provider IDs of Newbern Discount Drug Llc

Provider IdIssuer StateIssuer TypeIssuer
1454269TennesseeMedicaid
4418390TennesseeOtherNCPDP

official-icon Authorized Official of Newbern Discount Drug Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Newbern Discount Drug Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mrs. Patricia B Keller (DPH)
Authorized Official Title/PositionOWNER
Authorized Official Phone Number731-627-9573