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BULLS GAP PHARMACY LLC

Suppliers Pharmacy

Provider NPI: 1346332061

Organization Information:
Organization Name:  BULLS GAP PHARMACY LLC
Organization is not Subpart
Authorized Official:  JAMA  BOS  OWNER  423-235-4600

Practice Location:
412 HIGHWAY 11 E  BULLS GAP, TN 37711-3428 US
Tel: 423-235-4600  Fax: 423-235-5755

Business Mailing Address:
412 HIGHWAY 11 E  BULLS GAP, TN 37711-3428 US
Tel: 423-235-4600  Fax: 423-235-5755

NPI Information:
NPI: 1346332061
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
TN3964

Other Provider Identifiers:

IssuerNumberStateType
PK213714601
4437023TN05



American Medical Association 2012 taxonomy code information

Code: 3336C0003X

Type:

Classification:



Definition:



MEDICAL JOBS TN - Page 1

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