Organization
BOONES CREEK PHARMACY, INC.
Active
Organization
BOONES CREEK PHARMACY, INC.
Active
Other names
Boones Creek Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CADEN COX PHARMD (OWNER/PIC)
(423) 283-0911
Entity
Organization
Contact information
Practice address
4729 N ROAN ST, STE 2, JOHNSON CITY, TN 37615-3886
(423) 283-0911
(423) 283-0990
Mailing address
4729 N ROAN ST STE 2, JOHNSON CITY, TN 37615-3733
(423) 283-0911
(423) 283-0990
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000002064
TN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142795
PK
—
Enumeration date
10/02/2013
Last updated
04/28/2026
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