Andy'S Pharmacy
LBN: Clarksville Pharmacy I Llc
Andy'S Pharmacy is an health care organization with primary practice located at 801 N 2Nd St , Clarksville TN 37040-2909. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Clarksville Pharmacy I Llc can be contacted via phone (931) 802-5386, or through Hirt, Andrew via phone (615) 330-8485.
Contact Information
Primary practice address
801 N 2Nd St
Clarksville TN 37040-2909
Phone: (931) 802-5386
Fax: (931) 802-5389
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 4647 | Tennessee |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | TN1567 | Kentucky |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1518250141 |
|---|---|
| LBN Legal business name | Clarksville Pharmacy I Llc |
| DBA Doing business as | Andy'S Pharmacy |
| Authorized official | Hirt, Andrew |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 16th, 2011 |
| Last updated | Sep 3rd, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518250141 | NPPES |
| Kentucky | MEDICAID | 7100199100 | |
| Kentucky | Other | 2130242 | |
| Kentucky | MEDICAID | 1515313 |
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