Boones Creek Pharmacy
LBN: Boones Creek Pharmacy, Inc.
Boones Creek Pharmacy is an health care organization with primary practice located at 4729 N Roan St Ste 2, Johnson City TN 37615-3886. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Boones Creek Pharmacy, Inc. can be contacted via phone (423) 283-0911, or through Guimond, Mark via phone (423) 283-0911.
Contact Information
Primary practice address
4729 N Roan St Ste 2
Johnson City TN 37615-3886
Phone: (423) 283-0911
Fax: (423) 283-0990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 0000002064 | Tennessee |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1073940334 |
|---|---|
| LBN Legal business name | Boones Creek Pharmacy, Inc. |
| DBA Doing business as | Boones Creek Pharmacy |
| Authorized official | Guimond, Mark PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 2nd, 2013 |
| Last updated | Apr 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073940334 | NPPES |
| Other | 2142795 | PK |
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