Provider Demographics
NPI:1124188032
Name:DMRX LLC
Entity Type:Organization
Organization Name:DMRX LLC
Other - Org Name:DICKSON MEDICAL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:HARRISON
Authorized Official - Last Name:ORGAIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:615-446-9865
Mailing Address - Street 1:758 HIGHWAY 46 S
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-2556
Mailing Address - Country:US
Mailing Address - Phone:615-446-9865
Mailing Address - Fax:615-446-9867
Practice Address - Street 1:758 HIGHWAY 46 S
Practice Address - Street 2:SUITE A
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-2556
Practice Address - Country:US
Practice Address - Phone:615-446-9865
Practice Address - Fax:615-446-9867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN42133336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4438607OtherPHARMACY