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
Fax: (931) 684-9995
Website:
Authorized official contact:
Name: Spivey, Russ Doctor of Public Health (DPH)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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