Mikes Pharmacy

LBN: Michael Yarworth
Mikes Pharmacy is an health care organization with primary practice located at 740 Main St , Tracy City TN 37387. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Michael Yarworth can be contacted via phone (931) 592-9190, or through Yarworth, Michael via phone (931) 592-9190.

Contact Information

Primary practice address
740 Main St Tracy City TN 37387
Phone: (931) 592-9190
Fax: (931) 592-9203
Website:
Map and Directions
Authorized official contact:
Name: Yarworth, Michael Doctor of Public Health (DPH)
Phone: (931) 592-9190

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 130 Tennessee
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1730259722
LBN Legal business name Michael Yarworth
DBA Doing business as Mikes Pharmacy
Authorized official Yarworth, Michael Doctor of Public Health (DPH)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2006
Last updated Dec 1st, 2021 - about 3 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 1730259722 NPPES
Tennessee MEDICAID 1730259722
Tennessee Other 0325290001
Tennessee Other 2088655

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