East Tennessee Pharmacy Services

LBN: Guardian Pharmacy Of Knoxville Llc
East Tennessee Pharmacy Services is an health care organization with primary practice located at 431 Park Village Rd Suite 105, Knoxville TN 37923-3849. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Guardian Pharmacy Of Knoxville Llc can be contacted via phone (865) 730-4200, or through Brown, David via phone (931) 684-9987.

Contact Information

Primary practice address
431 Park Village Rd Suite 105 Knoxville TN 37923-3849
Phone: (865) 730-4200
Fax: (865) 730-4201
Website:
Map and Directions
Authorized official contact:
Name: Brown, David
Phone: (931) 684-9987

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 5188 Tennessee

Profile Details

NPI number 1306283072
LBN Legal business name Guardian Pharmacy Of Knoxville Llc
DBA Doing business as East Tennessee Pharmacy Services
Authorized official Brown, David
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2013
Last updated Sep 30th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306283072 NPPES
Tennessee MEDICAID 1306283072
Tennessee MEDICAID 200642900A
Tennessee MEDICAID 1306283072
Tennessee MEDICAID 1306283072
Tennessee MEDICAID 142751200
Tennessee Other 2140656
Tennessee MEDICAID 1306283072
Tennessee MEDICAID 3810030160
Tennessee MEDICAID 70100257410
Tennessee MEDICAID 7T5188

Popular Providers