<Unavail>

LBN: Jj Beans At Mooneys Llc
<Unavail> is an health care organization with primary practice located at 1107 N Roan St , Johnson City TN 37601-3901. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Jj Beans At Mooneys Llc can be contacted via phone (423) 926-7333, or through Huntsman, Chad B via phone (423) 312-3856.

Contact Information

Primary practice address
1107 N Roan St Johnson City TN 37601-3901
Phone: (423) 926-7333
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Huntsman, Chad B PHARMD
Phone: (423) 312-3856

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 1663 Tennessee
Suppliers / Compounding Pharmacy 3336C0004X 1663 Tennessee

Profile Details

NPI number 1477043768
LBN Legal business name Jj Beans At Mooneys Llc
DBA Doing business as <Unavail>
Authorized official Huntsman, Chad B PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2018
Last updated Oct 28th, 2020 - about 6 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 1477043768 NPPES
Tennessee MEDICAID Q037654

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