| Medi-thrift Pharmacy | |
|
346 W Central Ave Jamestown TN 38556-3407 | |
| (931) 879-8133 | |
| (931) 879-9365 |
| Full Name | Medi-thrift Pharmacy |
|---|---|
| Speciality | Pharmacy |
| Location | 346 W Central Ave, Jamestown, Tennessee |
| Authorized Official Name and Position | Rayella Jo Vaughn (OWNER - PHARMACIST) |
| Authorized Official Contact | 9318798133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medi-thrift Pharmacy Po Box 610 Jamestown TN 38556-0610 Ph: (931) 879-8133 | Medi-thrift Pharmacy 346 W Central Ave Jamestown TN 38556-3407 Ph: (931) 879-8133 |
| NPI Number | 1184629362 |
|---|---|
| Provider Enumeration Date | 06/15/2005 |
| Last Update Date | 04/28/2020 |
| Certification Date | 04/28/2020 |
| Medicare PECOS PAC ID | 9638297773 |
|---|---|
| Medicare Enrollment ID | O20100930039234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184629362 | NPI | - | NPPES |
| 3559215 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Secondary |
| 333600000X | Pharmacy | 0000001962 (Tennessee) | Primary |
| 183500000X | Pharmacist | (NU) | Secondary |
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