<Unavail>

LBN: Blue Front Drug, Inc
<Unavail> is an health care organization with primary practice located at 107 1St Ave Nw , Winchester TN 37398-1643. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Blue Front Drug, Inc can be contacted via phone (931) 967-2251, or through Herd, Joe via phone (931) 967-2251.

Contact Information

Primary practice address
107 1St Ave Nw Winchester TN 37398-1643
Phone: (931) 967-2251
Fax: (931) 967-6646
Website:
Map and Directions
Authorized official contact:
Name: Herd, Joe
Phone: (931) 967-2251

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 1204 Tennessee

Profile Details

NPI number 1306920434
LBN Legal business name Blue Front Drug, Inc
DBA Doing business as <Unavail>
Authorized official Herd, Joe
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Jan 14th, 2014 - about 12 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 1306920434 NPPES
Tennessee MEDICAID 9441063
Tennessee Other 2088179
Tennessee MEDICAID 4412007

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