Provider Demographics
NPI:1487124582
Name:SUTTON FAMILY PHARMACY, LLC.
Entity type:Organization
Organization Name:SUTTON FAMILY PHARMACY, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:JULIUS
Authorized Official - Middle Name:KELBY
Authorized Official - Last Name:SUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:931-347-5094
Mailing Address - Street 1:204 ADMIRAL CIR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38464-3526
Mailing Address - Country:US
Mailing Address - Phone:931-309-7997
Mailing Address - Fax:
Practice Address - Street 1:993 MILL ST
Practice Address - Street 2:
Practice Address - City:PULASKI
Practice Address - State:TN
Practice Address - Zip Code:38478-4628
Practice Address - Country:US
Practice Address - Phone:931-347-5094
Practice Address - Fax:931-347-5096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-30
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy