NUCKOLLS DRUG STORES INC NPI 1437160082

NPI Information

NUCKOLLS DRUG STORES, INC is a pharmacy in Bolivar, TN. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. NUCKOLLS DRUG STORES, INC NPI is 1437160082. The provider is registered as an organization entity type.
The provider Is Doing Business As Hudson Drug Store.

The provider's business location address is:

600 NUCKOLLS RD
BOLIVAR, TN
ZIP 38008-393
Phone: (731) 658-5207
Fax: (731) 658-1758

The provider's authorized official is James Kim Nuckolls .
The authorized official title is Pres and has the following contact phone number (731) 658-5207.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 12/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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