Ballad Health Pharmacy

LBN: Wilson Pharmacy Inc
Ballad Health Pharmacy is an health care organization with primary practice located at 1657 E Stone Dr Ste A, Kingsport TN 37660-4669. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Wilson Pharmacy Inc can be contacted via phone (423) 247-2126, or through Hilton, Shane Edwin via phone (423) 302-3467.

Contact Information

Primary practice address
1657 E Stone Dr Ste A Kingsport TN 37660-4669
Phone: (423) 247-2126
Fax: (423) 247-2138
Website:
Map and Directions
Authorized official contact:
Name: Hilton, Shane Edwin
Phone: (423) 302-3467

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 0000003075 Tennessee

Profile Details

NPI number 1861403446
LBN Legal business name Wilson Pharmacy Inc
DBA Doing business as Ballad Health Pharmacy
Authorized official Hilton, Shane Edwin
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Apr 18th, 2024 - about 2 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 1861403446 NPPES
Other 2092005 PK
MEDICAID 3516186 PK

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