Provider Demographics
NPI:1073126181
Name:OFF CENTER, LLC
Entity Type:Organization
Organization Name:OFF CENTER, LLC
Other - Org Name:ALGOOD FAMILY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:CLINT
Authorized Official - Last Name:MELTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-537-6337
Mailing Address - Street 1:606 W MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38506-5395
Mailing Address - Country:US
Mailing Address - Phone:931-537-6337
Mailing Address - Fax:931-525-5668
Practice Address - Street 1:606 W MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38506-5395
Practice Address - Country:US
Practice Address - Phone:931-537-6337
Practice Address - Fax:931-525-5668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy