Crescent Center Drug
LBN: Ccd Operating Llc Dba Crescent Center Drugs
Crescent Center Drug is an health care organization with primary practice located at 228 North Fairmont Avae , Morristown TN 37814. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Ccd Operating Llc Dba Crescent Center Drugs can be contacted via phone (423) 586-6263, or through Kragel, David Ryan via phone (423) 586-6263.
Contact Information
Primary practice address
228 North Fairmont Avae
Morristown TN 37814
Phone: (423) 586-6263
Fax: (423) 587-5460
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 703 | Tennessee |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1225049893 |
|---|---|
| LBN Legal business name | Ccd Operating Llc Dba Crescent Center Drugs |
| DBA Doing business as | Crescent Center Drug |
| Authorized official | Kragel, David Ryan PHARM D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Mar 6th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225049893 | NPPES |
| Tennessee | MEDICAID | 3564207 | |
| Tennessee | Other | 2095811 |
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