Susong Pharmacy
LBN: Susong Pharmacy Inc
Susong Pharmacy is an health care organization with primary practice located at 2255 E Andrew Johnson Hwy , Greeneville TN 37745-4375. 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.
Susong Pharmacy Inc can be contacted via phone (423) 639-8631, or through Susong, Charles via phone (423) 639-8631.
Contact Information
Primary practice address
2255 E Andrew Johnson Hwy
Greeneville TN 37745-4375
Phone: (423) 639-8631
Fax: (423) 639-0302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 177 | Tennessee |
Profile Details
| NPI number | 1073698361 |
|---|---|
| LBN Legal business name | Susong Pharmacy Inc |
| DBA Doing business as | Susong Pharmacy |
| Authorized official | Susong, Charles PHRM D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Feb 15th, 2012 - about 12 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 | 1073698361 | NPPES |
| Other | 4415495 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 9448308 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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