Anderson Compounding Pharmacy
LBN: Anderson Compounding Pharmacy Inc
Anderson Compounding Pharmacy is an health care organization with primary practice located at 310 Bluff City Hwy , Bristol TN 37620-4602. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Anderson Compounding Pharmacy Inc can be contacted via phone (423) 764-4136, or through Anderson, Roy via phone (423) 764-4136.
Contact Information
Primary practice address
310 Bluff City Hwy
Bristol TN 37620-4602
Phone: (423) 764-4136
Fax: (423) 764-5167
Website:
Authorized official contact:
Name: Anderson, Roy Doctor of Public Health (DPH)
Phone: (423) 764-4136
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2113 | Tennessee |
Profile Details
| NPI number | 1760437347 |
|---|---|
| LBN Legal business name | Anderson Compounding Pharmacy Inc |
| DBA Doing business as | Anderson Compounding Pharmacy |
| Authorized official | Anderson, Roy Doctor of Public Health (DPH) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Sep 13th, 2007 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760437347 | NPPES |
| North Carolina | MEDICAID | 0445728 | |
| North Carolina | MEDICAID | 4425903 | |
| North Carolina | MEDICAID | 8508895 | |
| North Carolina | Other | 4425903 |
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