<Unavail>
LBN: Cookeville Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 305 W Spring St , Cookeville TN 38501-3125. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Cookeville Pharmacy Llc can be contacted via phone (931) 372-2700, or through Hirt, Laura Davis via phone (931) 372-2700.
Contact Information
Primary practice address
305 W Spring St
Cookeville TN 38501-3125
Phone: (931) 372-2700
Fax: (931) 372-2701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 4863 | Tennessee |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1154610038 |
|---|---|
| LBN Legal business name | Cookeville Pharmacy Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Hirt, Laura Davis |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 31st, 2011 |
| Last updated | Dec 1st, 2021 - about 5 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 | 1154610038 | NPPES |
| Tennessee | MEDICAID | 1154610038M | |
| Tennessee | Other | 2129702 |
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