Main Street Pharmacy

LBN: Apothecary Consultants Llc
Main Street Pharmacy is an health care organization with primary practice located at 110 Main St , Savannah TN 38372-2412. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Apothecary Consultants Llc can be contacted via phone (731) 925-6246, or through Etheridge, Angela Roberts via phone (731) 925-6246.

Contact Information

Primary practice address
110 Main St Savannah TN 38372-2412
Phone: (731) 925-6246
Fax: (731) 925-6247
Website:
Map and Directions
Authorized official contact:
Name: Etheridge, Angela Roberts
Phone: (731) 925-6246

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 4610 Tennessee
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1992944631
LBN Legal business name Apothecary Consultants Llc
DBA Doing business as Main Street Pharmacy
Authorized official Etheridge, Angela Roberts
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2009
Last updated Oct 2nd, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992944631 NPPES
Other 2118962 PK
MEDICAID 1532003 PK

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