Standefer Drugcenter

LBN: Standefer Pharmacy
Standefer Drugcenter is an health care organization with primary practice located at 3051 Main St , Pikeville TN 37367-0150. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Standefer Pharmacy can be contacted via phone (423) 447-2134, or through Standefer, Fred via phone (423) 447-2134.

Contact Information

Primary practice address
3051 Main St Pikeville TN 37367-0150
Phone: (423) 447-2134
Fax: (423) 447-6330
Website:
Map and Directions
Authorized official contact:
Name: Standefer, Fred
Phone: (423) 447-2134

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 1069 Tennessee
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1073671608
LBN Legal business name Standefer Pharmacy
DBA Doing business as Standefer Drugcenter
Authorized official Standefer, Fred
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2006
Last updated May 20th, 2016 - about 8 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 1073671608 NPPES
Other 2095984 PK
MEDICAID 3513097 PK

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