Provider Demographics
NPI:1871610220
Name:CITY DRUG L.L.C
Entity type:Organization
Organization Name:CITY DRUG L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:YOUNES
Authorized Official - Middle Name:D
Authorized Official - Last Name:CHERKAOUI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:423-245-1211
Mailing Address - Street 1:1624 E STONE DR
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37660-4661
Mailing Address - Country:US
Mailing Address - Phone:423-245-1211
Mailing Address - Fax:423-245-2111
Practice Address - Street 1:1624 E STONE DR
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37660-4661
Practice Address - Country:US
Practice Address - Phone:423-245-1211
Practice Address - Fax:423-245-2111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4371333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy