Down Home Pharmacy

LBN: Down Home Rx Llc
Down Home Pharmacy is an health care organization with primary practice located at 1034 Main St , Bean Station TN 37708-4257. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Down Home Rx Llc can be contacted via phone (865) 993-4074, or through Kragel, David Ryan via phone (865) 993-4074.

Contact Information

Primary practice address
1034 Main St Bean Station TN 37708-4257
Fax: (865) 993-4194
Website:
Authorized official contact:
Name: Kragel, David Ryan PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1093424129
LBN Legal business name Down Home Rx Llc
DBA Doing business as Down Home Pharmacy
Authorized official Kragel, David Ryan PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2022
Last updated Jan 9th, 2023 - about last year

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 1093424129 NPPES
Tennessee MEDICAID Q046113

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