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:
Map and Directions
Authorized official contact:
Name: Blake, Joshua R PHARMD
Phone: (865) 262-9777

Health care specialties

SpecialtyCodeLicense #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 5 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 1073979522 NPPES
Other 2157383 PK
MEDICAID Q033187 PK

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