The Drug Store

LBN: Jerry D. Lowery
The Drug Store is an health care organization with primary practice located at 119 Main St , Benton TN 37307-3864. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Jerry D. Lowery can be contacted via phone (423) 338-2521, or through Lowery, Jerry D via phone (423) 338-2521.

Contact Information

Primary practice address
119 Main St Benton TN 37307-3864
Phone: (423) 338-2521
Fax: (423) 338-1092
Website:
Map and Directions
Authorized official contact:
Name: Lowery, Jerry D
Phone: (423) 338-2521

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 1328 Tennessee
Pharmacy Service Providers / Pharmacist 183500000X 25571 Tennessee
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1588721682
LBN Legal business name Jerry D. Lowery
DBA Doing business as The Drug Store
Authorized official Lowery, Jerry D
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2007
Last updated Jan 27th, 2022 - about 4 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 1588721682 NPPES
Tennessee MEDICAID 3526590

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