<Unavail>

LBN: The Hatchie Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 640 Nuckolls Rd , Bolivar TN 38008-1532. 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. The Hatchie Pharmacy Llc can be contacted via phone (731) 659-3740, or through Bryant-Holman, Kimberly via phone (731) 659-3740.

Contact Information

Primary practice address
640 Nuckolls Rd Bolivar TN 38008-1532
Phone: (731) 659-3740
Fax: (731) 659-3742
Website:
Map and Directions
Authorized official contact:
Name: Bryant-Holman, Kimberly PHARMD
Phone: (731) 659-3740

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0000004085 Tennessee

Profile Details

NPI number 1598723447
LBN Legal business name The Hatchie Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Bryant-Holman, Kimberly PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2006
Last updated Jan 18th, 2017 - about 9 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 1598723447 NPPES
Tennessee MEDICAID 4437794
Tennessee Other 2094613

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