Primecare Pharmacy
LBN: Tricare Pharmacy Llc
Primecare Pharmacy is an health care organization with primary practice located at 710 Nashville Pike Ste 101 , Gallatin TN 37066-4592. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Tricare Pharmacy Llc can be contacted via phone (615) 461-7078, or through Peter, Jeobu via phone (571) 315-9906.
Contact Information
Primary practice address
710 Nashville Pike Ste 101
Gallatin TN 37066-4592
Phone: (615) 461-7078
Fax: (615) 461-8864
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 0000005044 | Tennessee |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1003166943 |
|---|---|
| LBN Legal business name | Tricare Pharmacy Llc |
| DBA Doing business as | Primecare Pharmacy |
| Authorized official | Peter, Jeobu RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 18th, 2012 |
| Last updated | Dec 1st, 2022 - about 3 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 | 1003166943 | NPPES |
| Other | 2137141 | PK | |
| MEDICAID | Q036762 | PK |
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