Jefferson Compounding Center

LBN: Jack W Greene, Dba
Jefferson Compounding Center is an health care organization with primary practice located at 22 N Jefferson Cir , Oak Ridge TN 37830-4805. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Jack W Greene, Dba can be contacted via phone (865) 483-3007, or through Greene, Jack W via phone (865) 483-3007.

Contact Information

Primary practice address
22 N Jefferson Cir Oak Ridge TN 37830-4805
Phone: (865) 483-3007
Fax: (865) 483-3071
Website:
Map and Directions
Authorized official contact:
Name: Greene, Jack W Doctor of Public Health (DPH)
Phone: (865) 483-3007

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 1122 Tennessee

Profile Details

NPI number 1619195351
LBN Legal business name Jack W Greene, Dba
DBA Doing business as Jefferson Compounding Center
Authorized official Greene, Jack W Doctor of Public Health (DPH)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2007
Last updated Jul 18th, 2007 - about 19 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 1619195351 NPPES
Tennessee Other 1122 ST OF TN BOARD OF PHARMAC
Tennessee Other 4410673 ST OF TN BOARD OF PHARMAC

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