Okie'S Pharmacy

LBN: Maynardville Pharmacy Inc
Okie'S Pharmacy is an health care organization with primary practice located at 4221 Maynardville Hwy , Maynardville TN 37807-3555. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Maynardville Pharmacy Inc can be contacted via phone (865) 992-9455, or through Venigalla, Rajendraprasad via phone (347) 528-8893.

Contact Information

Primary practice address
4221 Maynardville Hwy Maynardville TN 37807-3555
Phone: (865) 992-9455
Fax: (865) 992-7979
Website:
Map and Directions
Authorized official contact:
Name: Venigalla, Rajendraprasad
Phone: (347) 528-8893

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 3435 Tennessee

Profile Details

NPI number 1396766366
LBN Legal business name Maynardville Pharmacy Inc
DBA Doing business as Okie'S Pharmacy
Authorized official Venigalla, Rajendraprasad
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2006
Last updated Apr 13th, 2020 - about 6 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 1396766366 NPPES
Other 2123620 PK
MEDICAID Q033563 PK

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