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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