Vantreese Discount Pharmacy Inc
LBN: Vantreese Discount Pharmacy Inc
Vantreese Discount Pharmacy Inc is an health care organization with primary practice located at 1463 S Highland Ave Suite A, Jackson TN 38301-7543. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Vantreese Discount Pharmacy Inc can be contacted via phone (731) 423-0316, or through Mcmaster, Brooke via phone (731) 423-0316.
Contact Information
Primary practice address
1463 S Highland Ave Suite A
Jackson TN 38301-7543
Phone: (731) 423-0316
Fax: (731) 424-5124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 290 | Tennessee |
Profile Details
| NPI number | 1265514046 |
|---|---|
| LBN Legal business name | Vantreese Discount Pharmacy Inc |
| DBA Doing business as | Vantreese Discount Pharmacy Inc |
| Authorized official | Mcmaster, Brooke PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Dec 12th, 2014 - about 10 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 | 1265514046 | NPPES |
| Tennessee | MEDICAID | 9448434 | |
| Tennessee | Other | 2088846 | |
| Tennessee | MEDICAID | 1455247 |
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