Provider Demographics
NPI:1194069807
Name:PARIS PHARMACY LLC
Entity type:Organization
Organization Name:PARIS PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:AUBUCHON
Authorized Official - Suffix:
Authorized Official - Credentials:DPH
Authorized Official - Phone:731-407-7220
Mailing Address - Street 1:1025 MINERAL WELLS AVENUE
Mailing Address - Street 2:SUITE B
Mailing Address - City:PARIS
Mailing Address - State:TN
Mailing Address - Zip Code:38242
Mailing Address - Country:US
Mailing Address - Phone:731-407-7220
Mailing Address - Fax:731-407-7229
Practice Address - Street 1:1025 MINERAL WELLS AVE
Practice Address - Street 2:SUITE B
Practice Address - City:PARIS
Practice Address - State:TN
Practice Address - Zip Code:38242-4947
Practice Address - Country:US
Practice Address - Phone:731-571-1501
Practice Address - Fax:731-588-5137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-19
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy