Tullahoma Drug Store Inc
LBN: Tullahoma Drug Store Inc
Tullahoma Drug Store Inc is an health care organization with primary practice located at 100 Westside Dr , Tullahoma TN 37388-3253. 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.
Tullahoma Drug Store Inc can be contacted via phone (931) 455-5409, or through Mcgee, David via phone (931) 455-5409.
Contact Information
Primary practice address
100 Westside Dr
Tullahoma TN 37388-3253
Phone: (931) 455-5409
Fax: (931) 455-5469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 1176 | Tennessee |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1073605713 |
|---|---|
| LBN Legal business name | Tullahoma Drug Store Inc |
| DBA Doing business as | Tullahoma Drug Store Inc |
| Authorized official | Mcgee, David Doctor of Public Health (DPH) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Jul 19th, 2018 - about 7 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 | 1073605713 | NPPES |
| Tennessee | MEDICAID | 1454329 | |
| Tennessee | Other | 2096146 |
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