Organization · Type 2 NPI

Community Quick Care

Non-Pharmacy Dispensing Site · Columbia, TN

NPI number 1083019608 Active

Practice location

1412 Trotwood Avenue, Suite 39
Columbia, TN 38401

Call (931) 490-0832 Map

Fax (931) 490-0834

Mailing address

1412 Trot Avenue, Suite 39
Columbia, TN 38401

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	11494 (TN)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

NPI record

NPI: 1083019608
Entity type: Organization (Type 2)
Issued: Oct 24, 2014
Last updated: Oct 24, 2014
Status: Active
Subpart: Yes of Community Quick Care of Lavergne

Other names

<unavail>
Community Quick Care of Columbia · doing business as

Authorized official

Mr. Jerry Eledge, RPH
Owner / CEO
(931) 490-0832

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083019608

Community Quick Care's National Provider Identifier is 1083019608, issued on Oct 24, 2014. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Columbia, TN. The record was last updated on Oct 24, 2014.