Ballad Health Pharmacy
LBN: Wilson Pharmacy Inc
Ballad Health Pharmacy is an health care organization with primary practice located at 523 N State Of Franklin Rd , Johnson City TN 37604-8210. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Wilson Pharmacy Inc can be contacted via phone (423) 926-6154, or through Hilton, Shane Edwin via phone (423) 302-3467.
Contact Information
Primary practice address
523 N State Of Franklin Rd
Johnson City TN 37604-8210
Phone: (423) 926-6154
Fax: (423) 926-5571
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 0000000490 | Tennessee |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X |
Profile Details
| NPI number | 1407867070 |
|---|---|
| LBN Legal business name | Wilson Pharmacy Inc |
| DBA Doing business as | Ballad Health Pharmacy |
| Authorized official | Hilton, Shane Edwin |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Apr 18th, 2024 - about last year |
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 | 1407867070 | NPPES |
| Tennessee | MEDICAID | 3516186 | |
| Tennessee | Other | 2095601 |
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