Family Drug Center Inc

LBN: Family Drug Center Inc
Family Drug Center Inc is an health care organization with primary practice located at 248 S Main St , Jellico TN 37762-2017. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Family Drug Center Inc can be contacted via phone (423) 784-8880, or through Creekmore, Ernest via phone (423) 784-8880.

Contact Information

Primary practice address
248 S Main St Jellico TN 37762-2017
Fax: (423) 784-5982
Website:
Authorized official contact:
Name: Creekmore, Ernest

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0000000735 Tennessee

Profile Details

NPI number 1174691315
LBN Legal business name Family Drug Center Inc
DBA Doing business as Family Drug Center Inc
Authorized official Creekmore, Ernest
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2006
Last updated Dec 6th, 2013 - about 11 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 1174691315 NPPES
Kentucky MEDICAID 54620273
Kentucky MEDICAID 3521467
Kentucky MEDICAID 90262726
Kentucky Other 2095596

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