Kizer Pharmacy Llc

LBN: Kizer Pharmacy Llc
Kizer Pharmacy Llc is an health care organization with primary practice located at 1117 S Miles Ave Ste. 1, Union City TN 38261-5439. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty. Kizer Pharmacy Llc can be contacted via phone (731) 885-2226, or through Kizer, Jason Smith via phone (731) 885-2226.

Contact Information

Primary practice address
1117 S Miles Ave Ste. 1 Union City TN 38261-5439
Fax: (731) 885-2291
Website:
Authorized official contact:
Name: Kizer, Jason Smith PHARM.D

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 10005 Tennessee

Profile Details

NPI number 1154388890
LBN Legal business name Kizer Pharmacy Llc
DBA Doing business as
Authorized official Kizer, Jason Smith PHARM.D
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2006
Last updated Nov 3rd, 2008 - about 18 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 1154388890 NPPES
Kentucky MEDICAID PENDING
Kentucky MEDICAID 1454376
Kentucky Other 4073242

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