Ocoee Professional Pharmacy

LBN: Ocoee Professional Pharmacy Llc
Ocoee Professional Pharmacy is an health care organization with primary practice located at 2401 N Ocoee St Ste A Ste A, Cleveland TN 37311-3853. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Ocoee Professional Pharmacy Llc can be contacted via phone (423) 472-3561, or through Moore, Joe via phone (423) 667-8532.

Contact Information

Primary practice address
2401 N Ocoee St Ste A Ste A Cleveland TN 37311-3853
Phone: (423) 472-3561
Fax: (423) 472-5329
Website:
Map and Directions
Authorized official contact:
Name: Moore, Joe
Phone: (423) 667-8532

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 3922 Tennessee

Profile Details

NPI number 1548202211
LBN Legal business name Ocoee Professional Pharmacy Llc
DBA Doing business as Ocoee Professional Pharmacy
Authorized official Moore, Joe
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2006
Last updated Sep 4th, 2015 - about 11 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 1548202211 NPPES
Tennessee MEDICAID 1454645
Tennessee Other 2093986

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