Lott Family Pharmacy Llc

LBN: Lott Family Pharmacy Llc
Lott Family Pharmacy Llc is an health care organization with primary practice located at 835 Mulberry Ave , Selmer TN 38375-2335. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Lott Family Pharmacy Llc can be contacted via phone (731) 645-5556, or through Lott, Jesse via phone (731) 412-8731.

Contact Information

Primary practice address
835 Mulberry Ave Selmer TN 38375-2335
Fax: (731) 645-4420
Website:
Authorized official contact:
Name: Lott, Jesse

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 6176 Tennessee

Profile Details

NPI number 1548773245
LBN Legal business name Lott Family Pharmacy Llc
DBA Doing business as
Authorized official Lott, Jesse
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2017
Last updated Feb 4th, 2022 - about 2 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 1548773245 NPPES
Other 2175300 PK
MEDICAID Q045627 PK

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