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Organization

BAGGETT PHARMACY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RONALD JAY BAGGETT PHARM. D. (PHARMACIST/OWNER)
(865) 376-6452
Entity
Organization

Contact information

Practice address
133 E RACE ST, KINGSTON, TN 37763-2824
(865) 376-6452
(865) 376-7729
Mailing address
133 E RACE ST, KINGSTON, TN 37763-2824
(865) 376-6452
(865) 376-7729

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
214
TN
3336C0004X
Compounding Pharmacy
3336L0003X
Long Term Care Pharmacy
214
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4407575
NABP
TN
Enumeration date
07/29/2006
Last updated
02/18/2021
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