Village Pharmacy

LBN: Donald Earl Walker
Village Pharmacy is an health care organization with primary practice located at 2541 E Broadway Ave , Maryville TN 37804-2760. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Donald Earl Walker can be contacted via phone (865) 983-9591, or through Walker, Donald via phone (865) 983-9591.

Contact Information

Primary practice address
2541 E Broadway Ave Maryville TN 37804-2760
Phone: (865) 983-9591
Fax: (865) 983-6632
Website:
Map and Directions
Authorized official contact:
Name: Walker, Donald B.S. PHARMACY
Phone: (865) 983-9591

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X 231 Tennessee

Profile Details

NPI number 1962591594
LBN Legal business name Donald Earl Walker
DBA Doing business as Village Pharmacy
Authorized official Walker, Donald B.S. PHARMACY
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Mar 29th, 2016 - about 9 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 1962591594 NPPES
Other 2088665 PK
MEDICAID 3543247 PK

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