Colonial Heights Pharmacy

LBN: Colonial Heights Pharmacy, Inc.
Colonial Heights Pharmacy is an health care organization with primary practice located at 4221 Ft. Henry Drive , Kingsport TN 37663. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Colonial Heights Pharmacy, Inc. can be contacted via phone (423) 239-9191, or through Dunn, Martha M via phone (423) 239-9191.

Contact Information

Primary practice address
4221 Ft. Henry Drive Kingsport TN 37663
Phone: (423) 239-9191
Fax: (423) 239-0382
Website:
Map and Directions
Authorized official contact:
Name: Dunn, Martha M PHARM D
Phone: (423) 239-9191

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X Tennessee
Suppliers / Community/Retail Pharmacy 3336C0003X 500 Tennessee

Profile Details

NPI number 1619003399
LBN Legal business name Colonial Heights Pharmacy, Inc.
DBA Doing business as Colonial Heights Pharmacy
Authorized official Dunn, Martha M PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Oct 13th, 2016 - about 10 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 1619003399 NPPES
Tennessee MEDICAID 1452937

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