Organization
BLOOMINGDALE DRUG OF KINGSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH D HARR PHARM. D. (OWNER)
(423) 288-4812
Entity
Organization
Contact information
Practice address
2900 BLOOMINGDALE RD, KINGSPORT, TN 37660-1957
(423) 288-4812
(423) 288-9469
Mailing address
2900 BLOOMINGDALE RD, KINGSPORT, TN 37660-1957
(423) 288-4812
(423) 288-9469
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
496
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452212
—
TN
05
—
8508135
—
VI
Enumeration date
07/29/2006
Last updated
10/29/2008
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