Provider Demographics
NPI:1639646516
Name:DHC OPERATIONS INC
Entity Type:Organization
Organization Name:DHC OPERATIONS INC
Other - Org Name:SUPER DISCOUNT DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:V
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:931-403-6337
Mailing Address - Street 1:PO BOX 375
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:TN
Mailing Address - Zip Code:38570-0375
Mailing Address - Country:US
Mailing Address - Phone:931-403-2553
Mailing Address - Fax:
Practice Address - Street 1:718 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:TN
Practice Address - Zip Code:38570-1720
Practice Address - Country:US
Practice Address - Phone:931-403-6337
Practice Address - Fax:931-403-6338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-29
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ052491Medicaid