Organization
BEVERLY PARK PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY STEVENS DPH (DIR OF PHCY)
(865) 246-4034
Entity
Organization
Contact information
Practice address
5321 BEVERLY PARK CIR, KNOXVILLE, TN 37918-9253
(865) 246-4034
(865) 246-4081
Mailing address
5321 BEVERLY PARK CIR, KNOXVILLE, TN 37918-9253
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
4030
TN
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4437566
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
4437566
—
TN
Enumeration date
12/01/2006
Last updated
09/11/2025
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