Cates Street Pharmacy
LBN: Cates Street Pharmacy Llc
Cates Street Pharmacy is an health care organization with primary practice located at 104 Cates St , Dunlap TN 37327-6093. 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.
Cates Street Pharmacy Llc can be contacted via phone (423) 949-5722, or through Burton, Joseph via phone (423) 949-5722.
Contact Information
Primary practice address
104 Cates St
Dunlap TN 37327-6093
Phone: (423) 949-5722
Fax: (423) 949-6176
Website:
Authorized official contact:
Name: Burton, Joseph Doctor of Public Health (DPH)
Phone: (423) 949-5722
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 00003967 | Tennessee |
Profile Details
| NPI number | 1851364483 |
|---|---|
| LBN Legal business name | Cates Street Pharmacy Llc |
| DBA Doing business as | Cates Street Pharmacy |
| Authorized official | Burton, Joseph Doctor of Public Health (DPH) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Apr 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851364483 | NPPES |
| Other | 2094085 | PK | |
| MEDICAID | 5202230001 | PK |
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