The Pharmacy At Family Medical Center Pllc

LBN: Pharmacy At Family Medical Center Pllc
The Pharmacy At Family Medical Center Pllc is an health care organization with primary practice located at 300 N Congress Blvd , Smithville TN 37166-2704. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Pharmacy At Family Medical Center Pllc can be contacted via phone (615) 215-6979, or through Daughtry, Susannah via phone (615) 215-6979.

Contact Information

Primary practice address
300 N Congress Blvd Smithville TN 37166-2704
Fax: (615) 597-6337
Website:
Authorized official contact:
Name: Daughtry, Susannah BS PHARMACY

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0000006174 Tennessee

Profile Details

NPI number 1982130290
LBN Legal business name Pharmacy At Family Medical Center Pllc
DBA Doing business as The Pharmacy At Family Medical Center Pllc
Authorized official Daughtry, Susannah BS PHARMACY
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2017
Last updated Jul 19th, 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 1982130290 NPPES
Other 2175748 PK
MEDICAID Q034972 PK

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