Organization
BLOUNT DISCOUNT PHARMACY INC
Active
Other names
Blount Discount Pharmacy-LTC
Organization subpart
No
Provider details
NPI number
Authorized official
HAMILTON BORDEN PHARMD (VICE-PRESIDENT /PHARMACIST)
(865) 681-0520
Entity
Organization
Contact information
Practice address
152 BMH PHYSICIANS OFFICE BLDG, MARYVILLE, TN 37804-5902
(865) 379-8524
(865) 983-8758
Mailing address
131 MONTGOMERY LN, MARYVILLE, TN 37803-5649
(865) 681-0520
(865) 681-8226
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
4986
TN
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1534059
—
TN
01
—
2135366
PK
—
Enumeration date
05/31/2012
Last updated
03/06/2024
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