Organization
GUARDIAN PHARMACY OF KNOXVILLE LLC
Active
Organization
GUARDIAN PHARMACY OF KNOXVILLE LLC
Active
Other names
East Tennessee Pharmacy Services
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BROWN (PRESIDENT)
(931) 684-9987
Entity
Organization
Contact information
Practice address
431 PARK VILLAGE RD, SUITE 105, KNOXVILLE, TN 37923-3849
(865) 730-4200
(865) 730-4201
Mailing address
GUARDIAN PHARMACY OF TENNESSEE ONE DEPT 2441, P.O. BOX 11407, BIRMINGHAM, AL 35246-0001
(404) 810-0089
(404) 810-0094
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
5188
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306283072
—
AL
05
—
1306283072
—
NV
05
—
1306283072
—
TN
05
—
1306283072
—
VA
05
—
142751200
—
WY
05
—
200642900A
—
OK
01
—
2140656
PK
—
05
—
3810030160
—
WV
05
—
70100257410
—
KY
05
—
7T5188
—
SC
Enumeration date
06/04/2013
Last updated
09/30/2016
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