<Unavail>

LBN: Kenton Howard Page
<Unavail> is an health care organization with primary practice located at 5034 N Broadway St Ste 220 , Knoxville TN 37918-2371. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Kenton Howard Page can be contacted via phone (865) 688-7025, or through Page, Kenton via phone (865) 688-7025.

Contact Information

Primary practice address
5034 N Broadway St Ste 220 Knoxville TN 37918-2371
Phone: (865) 688-7025
Fax: (865) 688-3724
Website:
Map and Directions
Authorized official contact:
Name: Page, Kenton BS PHARMACY
Phone: (865) 688-7025

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 102 Tennessee
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1922158245
LBN Legal business name Kenton Howard Page
DBA Doing business as <Unavail>
Authorized official Page, Kenton BS PHARMACY
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2007
Last updated May 5th, 2016 - about 10 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 1922158245 NPPES
Other 2089554 PK

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