<Unavail>

LBN: Pharmco
<Unavail> is an health care organization with primary practice located at 570 Paul Huff Pkwy Nw , Cleveland TN 37312-2957. 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. Pharmco can be contacted via phone (423) 790-0443, or through Bradley, Jason via phone (423) 790-0443.

Contact Information

Primary practice address
570 Paul Huff Pkwy Nw Cleveland TN 37312-2957
Phone: (423) 790-0443
Fax: (423) 790-0567
Website:
Map and Directions
Authorized official contact:
Name: Bradley, Jason
Phone: (423) 790-0443

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 6274 Tennessee

Profile Details

NPI number 1699271999
LBN Legal business name Pharmco
DBA Doing business as <Unavail>
Authorized official Bradley, Jason
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2018
Last updated Apr 7th, 2022 - about 4 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 1699271999 NPPES
Tennessee MEDICAID Q038185
Tennessee Other 2176846

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