Organization
HIXSON PHARMACY INC
Active
Other names
Hixson Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHIRAG PATEL (PIC)
(423) 498-5900
Entity
Organization
Contact information
Practice address
5508 HIXSON PHARMACY, SUITE 1, HIXSON, TN 37343
(423) 498-5900
(423) 498-5901
Mailing address
5508 HIXSON PHARMACY, SUITE 1, HIXSON, TN 37343
(423) 498-5900
(423) 498-5901
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
00006318
TN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177419
PK
—
05
—
Q045585
—
TN
Enumeration date
05/02/2018
Last updated
03/25/2022
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