Three Oaks Pharmacy

LBN: Three Oaks Pharmacy, Llc
Three Oaks Pharmacy is an health care organization with primary practice located at 259 Three Oaks Dr Suite A, Medina TN 38355. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Three Oaks Pharmacy, Llc can be contacted via phone (731) 783-3300, or through Holyfield, Derek via phone (731) 618-1787.

Contact Information

Primary practice address
259 Three Oaks Dr Suite A Medina TN 38355
Phone: (731) 783-3300
Fax: (731) 783-3900
Website:
Map and Directions
Authorized official contact:
Name: Holyfield, Derek PHARM. D
Phone: (731) 618-1787

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 00005271 Tennessee
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1023446051
LBN Legal business name Three Oaks Pharmacy, Llc
DBA Doing business as Three Oaks Pharmacy
Authorized official Holyfield, Derek PHARM. D
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2013
Last updated Dec 10th, 2019 - about 5 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 1023446051 NPPES
Tennessee MEDICAID Q033190

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