Provider Demographics
NPI:1619499118
Name:ALLENHILL PHARMACY AND MEDICAL SUPPLY
Entity Type:Organization
Organization Name:ALLENHILL PHARMACY AND MEDICAL SUPPLY
Other - Org Name:ALLENHILL SPECIALTY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:615-260-1884
Mailing Address - Street 1:4096 CAROTHERS PKWY STE 4
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-5911
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4096 CAROTHERS PKWY STE 4
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5911
Practice Address - Country:US
Practice Address - Phone:615-260-1884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLENHILL PHARMACY AND MEDICAL SUPPLY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-07-17
Last Update Date:2017-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN60283336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy