Provider Demographics
NPI:1902373814
Name:GETWELL PHARMACY OF TENNESSEE, INC.
Entity Type:Organization
Organization Name:GETWELL PHARMACY OF TENNESSEE, INC.
Other - Org Name:GETWELL PHARMACY #3100
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICK
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-481-1511
Mailing Address - Street 1:8856 CALKINS HILL CV
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38139-6571
Mailing Address - Country:US
Mailing Address - Phone:901-481-1511
Mailing Address - Fax:901-328-1475
Practice Address - Street 1:8831 GOODMAN RD
Practice Address - Street 2:
Practice Address - City:OLIVE BRANCH
Practice Address - State:MS
Practice Address - Zip Code:38654-2203
Practice Address - Country:US
Practice Address - Phone:662-655-4901
Practice Address - Fax:662-655-4067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-29
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy