<Unavail>
LBN: Compounding Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 310 Bluff City Hwy , Bristol TN 37620-4602. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Compounding Pharmacy Llc can be contacted via phone (423) 764-4136, or through Waters, Wesley via phone (406) 531-5888.
Contact Information
Primary practice address
310 Bluff City Hwy
Bristol TN 37620-4602
Phone: (423) 764-4136
Fax: (423) 764-5167
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2113 | Tennessee |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Mail Order Pharmacy | 3336M0002X |
Profile Details
| NPI number | 1760437347 |
|---|---|
| LBN Legal business name | Compounding Pharmacy Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Waters, Wesley PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Jan 20th, 2026 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760437347 | NPPES |
| Tennessee | MEDICAID | 4425903 | |
| Tennessee | MEDICAID | 8508895 | |
| Tennessee | Other | 4425903 |
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