Greene County Drug Store Llc

LBN: Greene County Drug Store Llc
Greene County Drug Store Llc is an health care organization with primary practice located at 906 Tusculum Blvd , Greeneville TN 37745-4004. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Greene County Drug Store Llc can be contacted via phone (423) 638-7101, or through Cox, Benjie L. via phone (423) 638-7101.

Contact Information

Primary practice address
906 Tusculum Blvd Greeneville TN 37745-4004
Fax: (423) 638-9105
Website:
Authorized official contact:
Name: Cox, Benjie L. Doctor of Public Health (DPH)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 2221 Tennessee

Profile Details

NPI number 1912930926
LBN Legal business name Greene County Drug Store Llc
DBA Doing business as
Authorized official Cox, Benjie L. Doctor of Public Health (DPH)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Oct 9th, 2018 - about 8 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 1912930926 NPPES
Tennessee MEDICAID 1454457

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