Organization · Type 2 NPI

Community Quick Care

Non-Pharmacy Dispensing Site · Lebanon, TN

NPI number 1164826285 Active

Practice location

1670 W Main St Ste 140
Lebanon, TN 37087-1345

Fax (615) 453-9498

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	APN0000016043 (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.)

2 other providers at this address

Other non-pharmacy dispensing site providers in Lebanon

See all in Lebanon →

NPI record

NPI: 1164826285
Entity type: Organization (Type 2)
Issued: Oct 17, 2014
Last updated: Oct 17, 2014
Status: Active
Subpart: Yes of Community Quick Care of Lavergne

Other names

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

Authorized official

Mr. Jerry Eledge, RPH
CEO
(615) 943-5072

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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 1164826285

Community Quick Care's National Provider Identifier is 1164826285, issued on Oct 17, 2014. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Lebanon, TN. The record was last updated on Oct 17, 2014.