Medsouth Pharmacy

LBN: Jackson Madison County General
Medsouth Pharmacy is an health care organization with primary practice located at 1700 Woodlawn Ave , Dyersburg TN 38024-2028. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Jackson Madison County General can be contacted via phone (731) 287-4500, or through Vaughn, Jennifer via phone (731) 287-4500.

Contact Information

Primary practice address
1700 Woodlawn Ave Dyersburg TN 38024-2028
Phone: (731) 287-4500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vaughn, Jennifer
Phone: (731) 287-4500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 00004608 Tennessee

Profile Details

NPI number 1538306634
LBN Legal business name Jackson Madison County General
DBA Doing business as Medsouth Pharmacy
Authorized official Vaughn, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2009
Last updated May 21st, 2009 - about 15 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 1538306634 NPPES
Other 4442048 NCPDP PROVIDER IDENTIFICATION NUMBER

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