Organization
MP OPERATING LLC DBA MORRISTOWN PHARMACY
Active
Organization
MP OPERATING LLC DBA MORRISTOWN PHARMACY
Active
Other names
MORRISTOWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RYAN KRAGEL PHARM D (OWNER/PHARMACIST)
(423) 587-4949
Entity
Organization
Contact information
Practice address
925 W 4TH NORTH ST, MORRISTOWN, TN 37814-3814
(423) 587-4949
(423) 587-4968
Mailing address
925 WEST 4TH NORTH ST, MORRISTOWN, TN 37814
(423) 587-4949
(423) 587-4968
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000000412
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452428
—
TN
01
—
2095813
PK
—
05
—
IA52428
—
TN
Enumeration date
08/10/2006
Last updated
03/19/2019
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