Middle Tennessee Pharmacy Services
LBN: Guardian Pharmacy Of Tn One
Middle Tennessee Pharmacy Services is an health care organization with primary practice located at 661 E Lane St , Shelbyville TN 37160-3437. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Guardian Pharmacy Of Tn One can be contacted via phone (931) 684-9987, or through Spivey, Russ via phone (931) 684-9987.
Contact Information
Primary practice address
661 E Lane St
Shelbyville TN 37160-3437
Phone: (931) 684-9987
Fax: (931) 684-9995
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 0000004147 | Tennessee |
Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | 0000004147 | Tennessee |
Suppliers / Compounding Pharmacy | 3336C0004X | 0000004147 | Tennessee |
Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X | 0000004147 | Tennessee |
Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
NPI number | 1215262670 |
---|---|
LBN Legal business name | Guardian Pharmacy Of Tn One |
DBA Doing business as | Middle Tennessee Pharmacy Services |
Authorized official | Spivey, Russ Doctor of Public Health (DPH) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 2nd, 2009 |
Last updated | Jan 27th, 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 | 1215262670 | NPPES |
Tennessee | Other | 103G876440 | LOCAL MEDICARE PART B |
Tennessee | Other | 4276630 | LOCAL MEDICARE PART B |
Tennessee | MEDICAID | 1520567 | LOCAL MEDICARE PART B |
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