West Tn Pharmaceutical Care, Llc

LBN: West Tn Pharmaceutical Care, Llc
West Tn Pharmaceutical Care, Llc is an health care organization with primary practice located at 24 Nolan Cv , Jackson TN 38305. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. West Tn Pharmaceutical Care, Llc can be contacted via phone (731) 554-9872, or through Shofe, Donna via phone (731) 554-9872.

Contact Information

Primary practice address
24 Nolan Cv Jackson TN 38305
Phone: (731) 554-9872
Fax: (731) 554-9874
Website:
Map and Directions
Authorized official contact:
Name: Shofe, Donna RPH
Phone: (731) 554-9872

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 4669 Tennessee
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1114156403
LBN Legal business name West Tn Pharmaceutical Care, Llc
DBA Doing business as
Authorized official Shofe, Donna RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2009
Last updated Jan 4th, 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 1114156403 NPPES
Tennessee MEDICAID 1517572

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