Middle Tennessee Pharmacy Services Llc

LBN: Middle Tennessee Pharmacy Services Llc
Middle Tennessee Pharmacy Services Llc is an health care organization with primary practice located at 336 S Cannon Blvd , Shelbyville TN 37160-3914. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Parenteral & Enteral Nutrition, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Parenteral & Enteral Nutrition is the primary health care specialty. Middle Tennessee Pharmacy Services Llc can be contacted via phone (931) 684-9987, or through Spivey, Russ via phone (931) 684-9987.

Contact Information

Primary practice address
336 S Cannon Blvd Shelbyville TN 37160-3914
Fax: (931) 684-9995
Website:
Authorized official contact:
Name: Spivey, Russ Doctor of Public Health (DPH)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 0000004147 Tennessee
Suppliers / Compounding Pharmacy 3336C0004X 0000004147 Tennessee
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 0000004147 Tennessee
Suppliers / Long Term Care Pharmacy 3336L0003X 0000004147 Tennessee
Suppliers / Specialty Pharmacy 3336S0011X 0000004147 Tennessee

Profile Details

NPI number 1497790786
LBN Legal business name Middle Tennessee Pharmacy Services Llc
DBA Doing business as
Authorized official Spivey, Russ Doctor of Public Health (DPH)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2006
Last updated Jun 18th, 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 1497790786 NPPES
Tennessee MEDICAID 4438140
Tennessee Other 4135181
Tennessee Other 4138194
Tennessee Other 1455133

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