Madison Avenue Pharmacy

LBN: Jkbc Wolf Inc
Madison Avenue Pharmacy is an health care organization with primary practice located at 1001 W Madison Ave , Athens TN 37303-3433. 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. Jkbc Wolf Inc can be contacted via phone (423) 746-2626, or through Wolfenden, Jeffry H via phone (423) 746-2626.

Contact Information

Primary practice address
1001 W Madison Ave Athens TN 37303-3433
Phone: (423) 746-2626
Fax: (423) 746-2624
Website:
Map and Directions
Authorized official contact:
Name: Wolfenden, Jeffry H RPH
Phone: (423) 746-2626

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 3583 Tennessee
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1144358466
LBN Legal business name Jkbc Wolf Inc
DBA Doing business as Madison Avenue Pharmacy
Authorized official Wolfenden, Jeffry H RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated Mar 7th, 2023 - about 3 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 1144358466 NPPES
Tennessee MEDICAID 1452528
Tennessee Other 4434584

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