Medical Mall Pharmacy Inc in Bristol - Pharmacy

Medical Mall Pharmacy Inc - NPI 1598768699

Medical Mall Pharmacy Inc is a Pharmacy in Bristol, Tennessee. Medical Mall Pharmacy Inc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Medical Mall Pharmacy Inc is 1598768699. The last update date is 2009-04-30.

Medical Mall Pharmacy Inc's current location address is 1 Medical Park Blvd, Bristol, Tennessee. You can contact this provider via phone number 4238442888 and fax number 4238442891. The mailing address for Medical Mall Pharmacy Inc is 1 Medical Park Blvd, Bristol, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Medical Mall Pharmacy Inc
Address 1 Medical Park Blvd, Bristol, Tennessee
Phone Number 4238442888
Fax Number 4238442891
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHARMACY S
Authorized Official Name Hagee Kristine
Telephone Number 4232308432

NPI Number Detail

NPI Number 1598768699
Provider Enumeration Date 2005-05-23
Last Updated Date 2009-04-30

Provider Mailing Address Detail

Address 1 Medical Park Blvd
City Bristol
State Tennessee (TN)
Post Code 3762074300
Phone Number 4238442888
Fax Number 4238442891

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Definition:
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8503257 TN --
4428719 NCPDP PROVIDER IDENTIFICATION

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FAQs about Medical Mall Pharmacy Inc

What is the unique identifier code issued to Medical Mall Pharmacy Inc by the Centers for Medicare & Medicaid Services (CMS)?

The Medical Mall Pharmacy Inc has been assigned the NPI (National Provider Identifier) 1598768699. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Medical Mall Pharmacy Inc's facilities are situated?

The facilities of Medical Mall Pharmacy Inc are physically located at the following address: 1 Medical Park Blvd, Bristol, TN, 3762074300.

What is Medical Mall Pharmacy Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Medical Mall Pharmacy Inc is Pharmacy, and the taxonomy code that classifies this field of practice is 333600000X.

On what date did the Medical Mall Pharmacy Inc receive the assignment of its 1598768699 from the Centers for Medicare & Medicaid Services?

The Medical Mall Pharmacy Inc was issued its 1598768699 by the Centers for Medicare & Medicaid Services on 2005-05-23.

When was the information pertaining to Medical Mall Pharmacy Inc most recently updated or revised?

The details related to Medical Mall Pharmacy Inc, including its address, specialty, and other relevant information, were last updated or revised on 2009-04-30.

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