Medical Arts Pharmacy

LBN: Nuckolls Drug Stores, Inc
Medical Arts Pharmacy is an health care organization with primary practice located at 407 W Lafayette St , Bolivar TN 38008-2651. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Nuckolls Drug Stores, Inc can be contacted via phone (731) 658-2941, or through Baird, Freeman Hunter via phone (731) 658-2941.

Contact Information

Primary practice address
407 W Lafayette St Bolivar TN 38008-2651
Phone: (731) 658-2941
Fax: (731) 658-1758
Website:
Map and Directions
Authorized official contact:
Name: Baird, Freeman Hunter BS
Phone: (731) 658-2941

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 1253 Tennessee

Profile Details

NPI number 1013068220
LBN Legal business name Nuckolls Drug Stores, Inc
DBA Doing business as Medical Arts Pharmacy
Authorized official Baird, Freeman Hunter BS
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2007
Last updated Feb 14th, 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 1013068220 NPPES
Tennessee MEDICAID 4401612

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