Mac'S Medicine Mart, Inc

LBN: Mac'S Medicine Mart, Inc
Mac'S Medicine Mart, Inc is an health care organization with primary practice located at 1455 E Center St , Kingsport TN 37664-2501. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mac'S Medicine Mart, Inc can be contacted via phone (423) 245-2181, or through Walton, Barry via phone (423) 245-2181.

Contact Information

Primary practice address
1455 E Center St Kingsport TN 37664-2501
Phone: (423) 245-2181
Fax: (423) 245-7261
Website:
Map and Directions
Authorized official contact:
Name: Walton, Barry Doctor of Public Health (DPH)
Phone: (423) 245-2181

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0417510001 Tennessee
Suppliers / Community/Retail Pharmacy 3336C0003X 2008 Tennessee

Profile Details

NPI number 1760580609
LBN Legal business name Mac'S Medicine Mart, Inc
DBA Doing business as
Authorized official Walton, Barry Doctor of Public Health (DPH)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Feb 1st, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760580609 NPPES
Tennessee Other 4424824 NCPDP

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