Blue Front Drug, Llc

LBN: Blue Front Drug, Llc
Blue Front Drug, Llc is an health care organization with primary practice located at 107 1St Ave Nw , Winchester TN 37398-1643. 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. Blue Front Drug, Llc can be contacted via phone (931) 967-2251, or through Ashby, Kyle via phone (931) 967-2251.

Contact Information

Primary practice address
107 1St Ave Nw Winchester TN 37398-1643
Phone: (931) 967-2251
Fax: (931) 967-6646
Website:
Map and Directions
Authorized official contact:
Name: Ashby, Kyle PHARM.D.
Phone: (931) 967-2251

Health care specialties

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

Profile Details

NPI number 1013550540
LBN Legal business name Blue Front Drug, Llc
DBA Doing business as
Authorized official Ashby, Kyle PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2019
Last updated Mar 14th, 2022 - about 3 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 1013550540 NPPES
Tennessee MEDICAID Q056473

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