44D2257668 CLIA NUMBER - TENNESSEE CVS PHARMACY LLC DBA CVS/PHARMACY #03727

Laboratory Demographics

CLIA Number: 44D2257668

Facility Name: TENNESSEE CVS PHARMACY LLC DBA CVS/PHARMACY #03727

Facility Address:
2008 W ANDREW JOHNSON HWY
MORRISTOWN, TN
ZIP 37814
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1003963570

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIA Record

Field Name	Field Value
CLIA Number	44D2257668
LAB Type	Pharmacy
Facility Name	TENNESSEE CVS PHARMACY LLC DBA CVS/PHARMACY #03727
Street	2008 W ANDREW JOHNSON HWY
City	MORRISTOWN
State	TN
ZIP	37814
Phone	866 389-2727
CertificateType	4
CertificateEffectiveDate	4/8/2024
CertificateExpirationDate	4/7/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024