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
Fax: (423) 949-6176
Website:
Authorized official contact:
Name: Burton, Joseph Doctor of Public Health (DPH)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851364483 NPPES
Other 2094085 PK
MEDICAID 5202230001 PK

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