River City Pharmacy
LBN: River City Pharmacy Inc
River City Pharmacy is an health care organization with primary practice located at 5564 Little Debbie Pkwy Suite 102, Ooltewah TN 37363-4356. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
River City Pharmacy Inc can be contacted via phone (423) 521-7279, or through Goss, James via phone (423) 503-1243.
Contact Information
Primary practice address
5564 Little Debbie Pkwy Suite 102
Ooltewah TN 37363-4356
Phone: (423) 521-7279
Fax: (423) 498-2480
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 6057 | Tennessee |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1144747411 |
|---|---|
| LBN Legal business name | River City Pharmacy Inc |
| DBA Doing business as | River City Pharmacy |
| Authorized official | Goss, James RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 27th, 2017 |
| Last updated | Jul 19th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144747411 | NPPES |
| Tennessee | MEDICAID | Q035490 | |
| Tennessee | Other | 2171095 |
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