Provider Demographics
NPI:1174190649
Name:FPBS LLC
Entity Type:Organization
Organization Name:FPBS LLC
Other - Org Name:VISE'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:MIDDLETON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:731-602-7752
Mailing Address - Street 1:43 N. BROAD ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38351
Mailing Address - Country:US
Mailing Address - Phone:731-307-5351
Mailing Address - Fax:731-249-9972
Practice Address - Street 1:122 LOBELVILLE HWY
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:TN
Practice Address - Zip Code:37096
Practice Address - Country:US
Practice Address - Phone:931-589-6694
Practice Address - Fax:931-589-6692
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FPBS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-04
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy