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Organization
BOONE DRUGS INC
Active
Organization
BOONE DRUGS INC
Active
Other names
Mountain City Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER W HODGES PHARMD (VICE PRESIDENT)
(828) 264-3055
Entity
Organization
Contact information
Practice address
1641 S SHADY ST, MOUNTAIN CITY, TN 37683-2015
(423) 727-0038
Mailing address
345 DEERFIELD RD, BOONE, NC 28607-5009
(828) 355-3365
(828) 264-0543
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
Primary
333600000X
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445460
—
NC
Enumeration date
02/22/2007
Last updated
07/14/2026
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