Baker Drug Store

LBN: Ashley N Tanner I I I
Baker Drug Store is an health care organization with primary practice located at 200 W Main St , Jackson TN 38301-6114. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Ashley N Tanner I I I can be contacted via phone (731) 427-1528, or through Tanner, Ashley via phone (731) 427-1528.

Contact Information

Primary practice address
200 W Main St Jackson TN 38301-6114
Phone: (731) 427-1528
Fax: (731) 423-4590
Website:
Map and Directions
Authorized official contact:
Name: Tanner, Ashley
Phone: (731) 427-1528

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 000000690 Tennessee

Profile Details

NPI number 1629026109
LBN Legal business name Ashley N Tanner I I I
DBA Doing business as Baker Drug Store
Authorized official Tanner, Ashley
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2006
Last updated Jun 17th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629026109 NPPES
Tennessee MEDICAID 3534364
Tennessee Other 4406977

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