Carters Compounding Pharmacy

LBN: Carters Compounding Pharmacy
Carters Compounding Pharmacy is an health care organization with primary practice located at 106 Elk Ave S Ste B, Fayetteville TN 37334-3050. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Carters Compounding Pharmacy can be contacted via phone (931) 433-1511, or through Damron, Jimmy via phone (931) 433-1511.

Contact Information

Primary practice address
106 Elk Ave S Ste B Fayetteville TN 37334-3050
Phone: (931) 433-1511
Fax: (931) 433-6854
Website:
Map and Directions
Authorized official contact:
Name: Damron, Jimmy RPH
Phone: (931) 433-1511

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X 0000003710 Tennessee

Profile Details

NPI number 1033289111
LBN Legal business name Carters Compounding Pharmacy
DBA Doing business as Carters Compounding Pharmacy
Authorized official Damron, Jimmy RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2006
Last updated Sep 27th, 2010 - about 15 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 1033289111 NPPES
Other 4435853 NCPDP PROVIDER IDENTIFICATION NUMBER

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