Roan Mountain Pharmacy

LBN: Jordon Baker Acquisitions, Inc.
Roan Mountain Pharmacy is an health care organization with primary practice located at 8251 Us Highway 19E , Roan Mountain TN 37687. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Jordon Baker Acquisitions, Inc. can be contacted via phone (423) 772-3591, or through Baker, Jordon Thomas via phone (423) 772-3591.

Contact Information

Primary practice address
8251 Us Highway 19E Roan Mountain TN 37687
Phone: (423) 772-3591
Fax: (423) 772-4596
Website:
Map and Directions
Authorized official contact:
Name: Baker, Jordon Thomas
Phone: (423) 772-3591

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1639112444
LBN Legal business name Jordon Baker Acquisitions, Inc.
DBA Doing business as Roan Mountain Pharmacy
Authorized official Baker, Jordon Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated Dec 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 1639112444 NPPES
Tennessee MEDICAID Q019339

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