Mid-Town Pharmacy

LBN: Mid-Town Pharmacy Llc
Mid-Town Pharmacy is an health care organization with primary practice located at 270 E Court Ave Ste C , Selmer TN 38375-2304. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mid-Town Pharmacy Llc can be contacted via phone (731) 645-7008, or through Manley, Ann via phone (731) 645-7008.

Contact Information

Primary practice address
270 E Court Ave Ste C Selmer TN 38375-2304
Phone: (731) 645-7008
Fax: (731) 982-7006
Website:
Map and Directions
Authorized official contact:
Name: Manley, Ann RPH
Phone: (731) 645-7008

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 00004902 Tennessee
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1942588645
LBN Legal business name Mid-Town Pharmacy Llc
DBA Doing business as Mid-Town Pharmacy
Authorized official Manley, Ann RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2011
Last updated Sep 23rd, 2015 - about 9 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 1942588645 NPPES
Other 2131475 PK

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