City Drug

LBN: Mac'S Pharmacy At Brown'S Creek, Llc
City Drug is an health care organization with primary practice located at 1612 E. Lamar Alexander Parkway , Maryville TN 37804. 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 / Pharmacy is the primary health care specialty. Mac'S Pharmacy At Brown'S Creek, Llc can be contacted via phone (865) 982-7162, or through Wilholt, Michael via phone (865) 806-6453.

Contact Information

Primary practice address
1612 E. Lamar Alexander Parkway Maryville TN 37804
Phone: (865) 982-7162
Fax: (865) 977-4263
Website:
Map and Directions
Authorized official contact:
Name: Wilholt, Michael PHARM D
Phone: (865) 806-6453

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0000000664 Tennessee
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1205933140
LBN Legal business name Mac'S Pharmacy At Brown'S Creek, Llc
DBA Doing business as City Drug
Authorized official Wilholt, Michael PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Oct 22nd, 2018 - about 6 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 1205933140 NPPES
Other 2088358 PK
MEDICAID 9440097 PK
MEDICAID 1452244 PK

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