Provider Demographics
NPI:1447897483
Name:PALMER DRUG, LLC
Entity type:Organization
Organization Name:PALMER DRUG, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:AUBREY
Authorized Official - Middle Name:CLAYTON
Authorized Official - Last Name:NUNLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-625-3151
Mailing Address - Street 1:PO BOX 70
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:TN
Mailing Address - Zip Code:37365-0070
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9971 SR 56
Practice Address - Street 2:
Practice Address - City:COALMONT
Practice Address - State:TN
Practice Address - Zip Code:37313-3731
Practice Address - Country:US
Practice Address - Phone:931-779-6337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-10
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy