NPI 1265806350

Rite Aid Pharmacy

Organisation Health Maintenance Organization Goodlettsville, TN

Practice location

Address: 116 S Main St, Goodlettsville, TN 37072-1709
Phone: (615) 851-5700
Fax: (615) 851-1611

Authorised official

Name: Simon Igho Idiare
Title: Staff Pharmacist
Phone: (615) 852-6133

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 0000011542 (TN)

Other Health Maintenance Organization providers in Tennessee →

Registry record

NPI: 1265806350
Entity type: Organization
NPI issued: 30 Nov 2015
Record last updated: 30 Nov 2015

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.