<Unavail>

LBN: Mac'S Medicine Mart, Inc
<Unavail> is an health care organization with primary practice located at 1455 E Center St Ste 2B , Kingsport TN 37664-2501. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Mac'S Medicine Mart, Inc can be contacted via phone (423) 246-2646, or through Walton, Barry via phone (423) 245-2181.

Contact Information

Primary practice address
1455 E Center St Ste 2B Kingsport TN 37664-2501
Phone: (423) 246-2646
Fax: (423) 765-9111
Website:
Map and Directions
Authorized official contact:
Name: Walton, Barry Doctor of Public Health (DPH)
Phone: (423) 245-2181

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1841761947
LBN Legal business name Mac'S Medicine Mart, Inc
DBA Doing business as <Unavail>
Authorized official Walton, Barry Doctor of Public Health (DPH)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2018
Last updated Dec 16th, 2025 - about last year

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 1841761947 NPPES
Tennessee MEDICAID 0417510002

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