Dale Hollow Pharmacy

LBN: Oakley Pharmacy Inc
Dale Hollow Pharmacy is an health care organization with primary practice located at 201 Mcarthur Ave , Celina TN 38551-4004. 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. Oakley Pharmacy Inc can be contacted via phone (931) 243-3434, or through Polston, John via phone (931) 243-3550.

Contact Information

Primary practice address
201 Mcarthur Ave Celina TN 38551-4004
Phone: (931) 243-3434
Fax: (931) 243-3550
Website:
Map and Directions
Authorized official contact:
Name: Polston, John
Phone: (931) 243-3550

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0000003817 Tennessee

Profile Details

NPI number 1578856316
LBN Legal business name Oakley Pharmacy Inc
DBA Doing business as Dale Hollow Pharmacy
Authorized official Polston, John
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2011
Last updated Nov 30th, 2016 - about 10 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 1578856316 NPPES
Other 2130431 PK
MEDICAID 6060358 PK

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