Provider Demographics
NPI:1316968308
Name:FLIPPIN DRUG COMPANY, INC
Entity type:Organization
Organization Name:FLIPPIN DRUG COMPANY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:T
Authorized Official - Last Name:CUNNINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DPH
Authorized Official - Phone:731-686-7467
Mailing Address - Street 1:3107 HIGHLAND ST
Mailing Address - Street 2:
Mailing Address - City:MILAN
Mailing Address - State:TN
Mailing Address - Zip Code:38358-3113
Mailing Address - Country:US
Mailing Address - Phone:731-686-7467
Mailing Address - Fax:731-686-9530
Practice Address - Street 1:3107 HIGHLAND ST
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:TN
Practice Address - Zip Code:38358-3113
Practice Address - Country:US
Practice Address - Phone:731-686-7467
Practice Address - Fax:731-686-9530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6803336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4409593OtherNCPDP
TN4409593OtherNCPDP