Organization
MORRISTOWN PHARMACIST GROUP, LLC DBA M.D. PHARMACY
Active
Other names
Bunch Medical LLC, Bunch Medical, LLC DBA M.D. Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE L MILLS (PIC)
(423) 289-1111
Entity
Organization
Contact information
Practice address
1467 W MORRIS BLVD, MORRISTOWN, TN 37813
(423) 289-1111
(423) 289-1121
Mailing address
1467 W MORRIS BLVD, MORRISTOWN, TN 37813
(423) 289-1111
(423) 289-1121
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
4808
TN
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0036280
—
IN
01
—
2127421
PK
—
Enumeration date
09/02/2010
Last updated
05/19/2020
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