Surgoinsville Pharmacy

LBN: Bise, Pllc
Surgoinsville Pharmacy is an health care organization with primary practice located at 114 Bellamy Avenue , Surgoinsville TN 37873. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Bise, Pllc can be contacted via phone (423) 345-0333, or through Bryan, Beth A via phone (423) 345-0333.

Contact Information

Primary practice address
114 Bellamy Avenue Surgoinsville TN 37873
Phone: (423) 345-0333
Fax: (423) 345-0336
Website:
Map and Directions
Authorized official contact:
Name: Bryan, Beth A PHARMD
Phone: (423) 345-0333

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 4667 Tennessee

Profile Details

NPI number 1871724708
LBN Legal business name Bise, Pllc
DBA Doing business as Surgoinsville Pharmacy
Authorized official Bryan, Beth A PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2009
Last updated Feb 25th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871724708 NPPES
Tennessee MEDICAID Q045913
Tennessee Other 4442694

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