Stone Drive Outpatient Pharmacy

LBN: Medical Mall Pharmacy Inc
Stone Drive Outpatient Pharmacy is an health care organization with primary practice located at 105 W Stone Dr Suite 1-B, Kingsport TN 37660-3256. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Medical Mall Pharmacy Inc can be contacted via phone (423) 224-3555, or through Sweet, Carrie via phone (423) 230-8435.

Contact Information

Primary practice address
105 W Stone Dr Suite 1-B Kingsport TN 37660-3256
Phone: (423) 224-3555
Fax: (423) 224-3560
Website:
Map and Directions
Authorized official contact:
Name: Sweet, Carrie
Phone: (423) 230-8435

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 4582 Tennessee

Profile Details

NPI number 1316191349
LBN Legal business name Medical Mall Pharmacy Inc
DBA Doing business as Stone Drive Outpatient Pharmacy
Authorized official Sweet, Carrie
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2008
Last updated Feb 20th, 2009 - 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 1316191349 NPPES
Other 4442062 NCPDP PROVIDER IDENTIFICATION NUMBER

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