Organization
APOTHECARY INC
Active
Other names
BEVINS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN BEVINS RPH (OWNER)
(423) 928-3130
Entity
Organization
Contact information
Practice address
1301 N ROAN ST, JOHNSON CITY, TN 37601-3941
(423) 928-3130
(423) 928-2249
Mailing address
1301 N ROAN ST, JOHNSON CITY, TN 37601-3941
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1695
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3557318
—
TN
01
—
4422298
OTHER ID NUMBER
—
Enumeration date
11/13/2006
Last updated
11/29/2007
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