<Unavail>

LBN: Boones Creek Pharmacy, Inc.
<Unavail> is an health care organization with primary practice located at 4729 N Roan St Ste 2, Johnson City TN 37615-3886. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Boones Creek Pharmacy, Inc. can be contacted via phone (423) 283-0911, or through Cox, Caden via phone (423) 283-0911.

Contact Information

Primary practice address
4729 N Roan St Ste 2 Johnson City TN 37615-3886
Phone: (423) 283-0911
Fax: (423) 283-0990
Website:
Map and Directions
Authorized official contact:
Name: Cox, Caden PHARMD
Phone: (423) 283-0911

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0000002064 Tennessee
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1073940334
LBN Legal business name Boones Creek Pharmacy, Inc.
DBA Doing business as <Unavail>
Authorized official Cox, Caden PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2013
Last updated Apr 28th, 2026 - about 7 months 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 1073940334 NPPES
Other 2142795 PK

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