Provider Demographics
NPI:1982773909
Name:TODD'S DISCOUNT DRUGS INC.
Entity Type:Organization
Organization Name:TODD'S DISCOUNT DRUGS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JIMMY
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:GEAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPH
Authorized Official - Phone:731-632-0995
Mailing Address - Street 1:PO BOX 576
Mailing Address - Street 2:
Mailing Address - City:ADAMSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38310-0576
Mailing Address - Country:US
Mailing Address - Phone:731-632-0995
Mailing Address - Fax:731-632-9102
Practice Address - Street 1:347 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ADAMSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38310-2321
Practice Address - Country:US
Practice Address - Phone:731-632-0995
Practice Address - Fax:731-632-9102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN454183500000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN9448630Medicaid
TN9448630Medicaid