Provider Demographics
NPI:1386152007
Name:HPG OF TENNESSEE, INC.
Entity type:Organization
Organization Name:HPG OF TENNESSEE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICK
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-481-1511
Mailing Address - Street 1:8856 CALKINS HILL CV
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38139-6571
Mailing Address - Country:US
Mailing Address - Phone:901-481-1511
Mailing Address - Fax:901-328-1475
Practice Address - Street 1:102 W. HAMLET STREET
Practice Address - Street 2:PO BOX I
Practice Address - City:PINETOPS
Practice Address - State:NC
Practice Address - Zip Code:27864
Practice Address - Country:US
Practice Address - Phone:252-827-5532
Practice Address - Fax:252-827-2741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-16
Last Update Date:2018-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCPENDING3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy