Boones Creek Pharmacy
LBN: Rowan Enterprises Inc
Boones Creek Pharmacy is an health care organization with primary practice located at 4729 N Roan St Ste 2, Johnson City TN 37615-3959. 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.
Rowan Enterprises Inc can be contacted via phone (423) 283-0911, or through Rowan, Thomas via phone (423) 283-0911.
Contact Information
Primary practice address
4729 N Roan St Ste 2
Johnson City TN 37615-3959
Phone: (423) 283-0911
Fax: (423) 283-0990
Website:
Authorized official contact:
Name: Rowan, Thomas Doctor of Public Health (DPH)
Phone: (423) 283-0911
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2064 | Tennessee |
Profile Details
| NPI number | 1568599306 |
|---|---|
| LBN Legal business name | Rowan Enterprises Inc |
| DBA Doing business as | Boones Creek Pharmacy |
| Authorized official | Rowan, Thomas Doctor of Public Health (DPH) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Aug 19th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568599306 | NPPES |
| Tennessee | MEDICAID | 3562790 | |
| Tennessee | Other | 4425004 |
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