John Smith Professional Pharmacy, Inc.

LBN: John Smith Professional Pharmacy, Inc.
John Smith Professional Pharmacy, Inc. is an health care organization with primary practice located at 100 Lantana Rd Ste. 201, Crossville TN 38555-1903. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. John Smith Professional Pharmacy, Inc. can be contacted via phone (931) 484-1434, or through Upchurch, Vicki S via phone (931) 484-1434.

Contact Information

Primary practice address
100 Lantana Rd Ste. 201 Crossville TN 38555-1903
Phone: (931) 484-1434
Fax: (931) 456-2853
Website:
Map and Directions
Authorized official contact:
Name: Upchurch, Vicki S Doctor of Public Health (DPH)
Phone: (931) 484-1434

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 60 Tennessee

Profile Details

NPI number 1669412144
LBN Legal business name John Smith Professional Pharmacy, Inc.
DBA Doing business as
Authorized official Upchurch, Vicki S Doctor of Public Health (DPH)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2006
Last updated Aug 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669412144 NPPES
Tennessee MEDICAID 3513437
Tennessee Other 4405797

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