College Park Pharmacy
LBN: Jj Beans Llc
College Park Pharmacy is an health care organization with primary practice located at 2106 E Andrew Johnson Hwy , Morristown TN 37814-5412. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Jj Beans Llc can be contacted via phone (423) 586-0721, or through Huntsman, Chad Barclay via phone (423) 586-0721.
Contact Information
Primary practice address
2106 E Andrew Johnson Hwy
Morristown TN 37814-5412
Phone: (423) 586-0721
Fax: (423) 587-5419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 706 | Tennessee |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1720121643 |
|---|---|
| LBN Legal business name | Jj Beans Llc |
| DBA Doing business as | College Park Pharmacy |
| Authorized official | Huntsman, Chad Barclay PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Jul 18th, 2023 - about last year |
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 | 1720121643 | NPPES |
| Tennessee | MEDICAID | Q045972 |
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