OrganizationMed Center Pharmacy LlcPharmacySuppliersPractice Address900 W Main St, Rogersville, TN 37857-2448(423) 272-8104PECOS EnrollmentBased on the most recent information from CMS, provider Med Center Pharmacy Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1861585218Provider TypeOrganizationFull NameMed Center Pharmacy LlcSubpartNoEnumeration Date9/30/2006Last Updated2/16/2015Contact InformationPractice LocationPractice Address900 W Main St, Rogersville, TN 37857-2448Phone(423) 272-8104Fax(423) 272-0282Mailing LocationMailing Address900 W Main St, Rogersville, TN 37857-2448Phone(423) 272-8104Fax(423) 272-0282Authorized OfficialNamePack, William (Owner And Pharmacist)Phone(423) 272-8104Provider TaxonomiesCodeDescriptionLicenseCode3336C0003XPrimaryDescriptionPharmacySuppliersLicense1706TennesseeCode333600000XDescriptionPharmacySuppliersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID2095045DescriptionOtherIssuerPK