<Unavail>

LBN: Nutritional Support Services
<Unavail> is an health care organization with primary practice located at 8975 Executive Park Dr , Knoxville TN 37923-4701. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Nutritional Support Services can be contacted via phone (865) 531-0008, or through Leeman, Terry via phone (615) 890-2020.

Contact Information

Primary practice address
8975 Executive Park Dr Knoxville TN 37923-4701
Phone: (865) 531-0008
Fax: (865) 531-0058
Website:
Map and Directions
Authorized official contact:
Name: Leeman, Terry
Phone: (615) 890-2020

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Institutional Pharmacy 3336I0012X
Suppliers / Long Term Care Pharmacy 3336L0003X 2371 Tennessee

Profile Details

NPI number 1346318169
LBN Legal business name Nutritional Support Services
DBA Doing business as <Unavail>
Authorized official Leeman, Terry
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2006
Last updated Aug 27th, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346318169 NPPES
Tennessee MEDICAID 4428531
Tennessee Other 2091695

Popular Providers