Eddie'S Drug Store

LBN: Eddies Drug Store Llc
Eddie'S Drug Store is an health care organization with primary practice located at 1240 Fox Meadows Blvd Ste 3 , Sevierville TN 37862-6928. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Eddies Drug Store Llc can be contacted via phone (865) 286-9079, or through Lewis, Eddie via phone (865) 286-9079.

Contact Information

Primary practice address
1240 Fox Meadows Blvd Ste 3 Sevierville TN 37862-6928
Phone: (865) 286-9079
Fax: (865) 286-9016
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Eddie
Phone: (865) 286-9079

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5003 Tennessee

Profile Details

NPI number 1417223330
LBN Legal business name Eddies Drug Store Llc
DBA Doing business as Eddie'S Drug Store
Authorized official Lewis, Eddie
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2012
Last updated Jul 17th, 2012 - about 12 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 1417223330 NPPES
Other 4444953 NCPDP PROVIDER IDENTIFICATION NUMBER

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