Stacy'S Wellness Pharmacy, Inc.
LBN: Stacys Wellness Pharmacy Inc
Stacy'S Wellness Pharmacy, Inc. is an health care organization with primary practice located at 485 N Chancery St Ste 1 , Mcminnville TN 37110-8903. 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.
Stacys Wellness Pharmacy Inc can be contacted via phone (931) 474-0600, or through Hazelwood, Stacy via phone (931) 474-0600.
Contact Information
Primary practice address
485 N Chancery St Ste 1
Mcminnville TN 37110-8903
Phone: (931) 474-0600
Fax: (931) 474-0601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5899 | Tennessee |
Profile Details
| NPI number | 1396288551 |
|---|---|
| LBN Legal business name | Stacys Wellness Pharmacy Inc |
| DBA Doing business as | Stacy'S Wellness Pharmacy, Inc. |
| Authorized official | Hazelwood, Stacy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 21st, 2016 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396288551 | NPPES |
| Other | 2166501 | PK | |
| MEDICAID | Q033117 | PK |
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