Organization
BERRYS PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER B BINGHAM (OWNER)
(423) 247-3124
Entity
Organization
Contact information
Practice address
460 W CENTER ST, KINGSPORT, TN 37660-3656
(423) 247-3124
(423) 247-5907
Mailing address
460 W CENTER ST, KINGSPORT, TN 37660-3656
(423) 247-3124
(423) 247-5907
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
1285
TN
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454671
—
TN
Enumeration date
12/28/2005
Last updated
07/01/2025
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