Provider Demographics
NPI:1801984273
Name:H&S PHARMACY #2
Entity type:Organization
Organization Name:H&S PHARMACY #2
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:MILES
Authorized Official - Last Name:CRIGGER
Authorized Official - Suffix:
Authorized Official - Credentials:DR OF PHARMACY
Authorized Official - Phone:615-359-4095
Mailing Address - Street 1:850 N ELLINGTON PKWY
Mailing Address - Street 2:P.O. BOX 2606
Mailing Address - City:LEWISBURG
Mailing Address - State:TN
Mailing Address - Zip Code:37091-2271
Mailing Address - Country:US
Mailing Address - Phone:931-359-4094
Mailing Address - Fax:931-359-4096
Practice Address - Street 1:850 N ELLINGTON PKWY
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:TN
Practice Address - Zip Code:37091-2271
Practice Address - Country:US
Practice Address - Phone:931-359-4094
Practice Address - Fax:931-359-4096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5047183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1454458Medicaid
TN0330780001Medicare ID - Type Unspecified