Marks Pharmacy

LBN: Marks Pharmacy
Marks Pharmacy is an health care organization with primary practice located at 106 Creek St , Lake City TN 37769. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Marks Pharmacy can be contacted via phone (865) 426-2186, or through Smith, Mark via phone (865) 426-2186.

Contact Information

Primary practice address
106 Creek St Lake City TN 37769
Phone: (865) 426-2186
Fax: (865) 426-9200
Website:
Map and Directions
Authorized official contact:
Name: Smith, Mark
Phone: (865) 426-2186

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 1352 Tennessee
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1285793653
LBN Legal business name Marks Pharmacy
DBA Doing business as
Authorized official Smith, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2006
Last updated Apr 29th, 2008 - about 17 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 1285793653 NPPES
Tennessee MEDICAID 3910029
Tennessee Other 4408173
Tennessee Other 4440412

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