Wartburg Pharmacy Inc

LBN: Wartburg Pharmacy Inc
Wartburg Pharmacy Inc is an health care organization with primary practice located at 1006 Main St , Wartburg TN 37887-4150. 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. Wartburg Pharmacy Inc can be contacted via phone (423) 346-2700, or through Gouge, Jana via phone (423) 346-2700.

Contact Information

Primary practice address
1006 Main St Wartburg TN 37887-4150
Phone: (423) 346-2700
Fax: (423) 346-2756
Website:
Map and Directions
Authorized official contact:
Name: Gouge, Jana
Phone: (423) 346-2700

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 3142 Tennessee

Profile Details

NPI number 1457423964
LBN Legal business name Wartburg Pharmacy Inc
DBA Doing business as Wartburg Pharmacy Inc
Authorized official Gouge, Jana
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457423964 NPPES
Tennessee MEDICAID 1452232
Tennessee Other 2092156

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