Medi Mart Pharmacy

LBN: Medi Mart Pharmacy
Medi Mart Pharmacy is an health care organization with primary practice located at 5030 Georgetown Rd Nw , Cleveland TN 37312-1309. 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. Medi Mart Pharmacy can be contacted via phone (423) 472-5548, or through Moore, Joe via phone (423) 476-7947.

Contact Information

Primary practice address
5030 Georgetown Rd Nw Cleveland TN 37312-1309
Phone: (423) 472-5548
Fax: (423) 472-6400
Website:
Map and Directions
Authorized official contact:
Name: Moore, Joe
Phone: (423) 476-7947

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0000000354 Tennessee
Suppliers / Pharmacy 333600000X 0000000354 Tennessee
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1861407496
LBN Legal business name Medi Mart Pharmacy
DBA Doing business as
Authorized official Moore, Joe
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Apr 20th, 2008 - about 16 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 1861407496 NPPES
Other 4439255 OTHER ID NUMBER-COMMERCIAL NUMBER

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