Smith Pharmacy
LBN: Chrystal Inc
Smith Pharmacy is an health care organization with primary practice located at 100 W 3Rd St , Cookeville TN 38501-2495. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Chrystal Inc can be contacted via phone (931) 526-4312, or through Smith, Clarence via phone (931) 526-4612.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2271 | Tennessee |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1962494385 |
|---|---|
| LBN Legal business name | Chrystal Inc |
| DBA Doing business as | Smith Pharmacy |
| Authorized official | Smith, Clarence RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Jan 26th, 2011 - about 14 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 | 1962494385 | NPPES |
| Tennessee | MEDICAID | 3561654 | |
| Tennessee | Other | 4426602 |
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