Dixie Pharmacy
LBN: Dixie Pharmacy-3 Llc
Dixie Pharmacy is an health care organization with primary practice located at 311 Landrum Pl Suite 600-A, Clarksville TN 37043-6319. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Dixie Pharmacy-3 Llc can be contacted via phone (931) 241-5688, or through Shajiuddin, Mohammed via phone (615) 686-6420.
Contact Information
Primary practice address
311 Landrum Pl Suite 600-A
Clarksville TN 37043-6319
Phone: (931) 241-5688
Fax: (931) 241-5686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 00005866 | Tennessee |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1912452590 |
|---|---|
| LBN Legal business name | Dixie Pharmacy-3 Llc |
| DBA Doing business as | Dixie Pharmacy |
| Authorized official | Shajiuddin, Mohammed RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 24th, 2016 |
| Last updated | Feb 15th, 2017 - about 9 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 | 1912452590 | NPPES |
| Other | 2164376 | PK |
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