Fountain City Pharmacy
LBN: Kenton Howard Page
Fountain City Pharmacy is an health care organization with primary practice located at 5034 N Broadway St Ste 220 , Knoxville TN 37918-2371. 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.
Kenton Howard Page can be contacted via phone (865) 688-7025, or through Page, Kenton via phone (865) 688-7025.
Contact Information
Primary practice address
5034 N Broadway St Ste 220
Knoxville TN 37918-2371
Phone: (865) 688-7025
Fax: (865) 688-3724
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 102 | Tennessee |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1922158245 |
|---|---|
| LBN Legal business name | Kenton Howard Page |
| DBA Doing business as | Fountain City Pharmacy |
| Authorized official | Page, Kenton BS PHARMACY |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | May 5th, 2016 - about 9 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 | 1922158245 | NPPES |
| Other | 2089554 | PK |
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