Bunch Medical, Llc Dba Md Pharmacy Store 2
LBN: Jeff City Pharmacist Group Llc Dba Md Pharmacy Store 2
Bunch Medical, Llc Dba Md Pharmacy Store 2 is an health care organization with primary practice located at 657 E Broadway Blvd , Jefferson City TN 37760. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Jeff City Pharmacist Group Llc Dba Md Pharmacy Store 2 can be contacted via phone (865) 262-9777, or through Blake, Joshua R via phone (865) 262-9777.
Contact Information
Primary practice address
657 E Broadway Blvd
Jefferson City TN 37760
Phone: (865) 262-9777
Fax: (865) 262-9778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5720 | Tennessee |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1073979522 |
|---|---|
| LBN Legal business name | Jeff City Pharmacist Group Llc Dba Md Pharmacy Store 2 |
| DBA Doing business as | Bunch Medical, Llc Dba Md Pharmacy Store 2 |
| Authorized official | Blake, Joshua R PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 13th, 2016 |
| Last updated | May 28th, 2020 - about 4 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 | 1073979522 | NPPES |
| Other | 2157383 | PK | |
| MEDICAID | Q033187 | PK |
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