Whalio Doctors

NPI 1063743904

Bretthaven INC

Organisation Community/Retail Pharmacy Cookeville, TN

Practice location

Address
606 W Main St Suite a, Cookeville, TN 38506-5325
Phone
(931) 537-3211
Fax
(931) 537-9994
Mailing address
263 Haven Ln, Cookeville, TN 38506-5756

Authorised official

Name
Rachel Cross
Title
Owner/Ceo
Phone
(931) 537-3211

Registered specialties (5)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 4740 (TN)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X
Compounding Pharmacy
Suppliers Taxonomy 3336C0004X
Home Infusion Therapy Pharmacy
Suppliers Taxonomy 3336H0001X

Registry record

NPI
1063743904
Entity type
Organization
NPI issued
15 Jan 2010
Record last updated
20 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.