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:
Health care specialties
Specialty | Code | License # | 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 8 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 | 1962591594 | NPPES |
Other | 2088665 | PK | |
MEDICAID | 3543247 | PK |
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