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Organization

THE NOWELL CORPORATION

Active
Other names
Fresh Pharmacy, East Tennessee Discount Drugs
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH MOSELEY NOWELL JR. PHARM. D. (PRESIDENT)
(865) 719-7476
Entity
Organization

Contact information

Practice address
721 HIGHWAY 321 N STE 2, LENOIR CITY, TN 37771-5003
(865) 988-0000
(865) 986-1542
Mailing address
PO BOX 1036, LENOIR CITY, TN 37771-1036
(865) 988-0000
(865) 986-1542

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0000000699
TN
3336C0003X
Community/Retail Pharmacy
Primary
0000002306
TN
3336C0004X
Compounding Pharmacy
2306
TN
335E00000X
Prosthetic/Orthotic Supplier

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000002306
STATE PHARMACY LICENSE
TN
01
0570320001
BANKERS LIFE &CASUALTY
TN
01
100045803
PHP TENNCARE/MEDICAID
TN
01
3021490
BLUE CROSS BLUE SHIELD
TN
05
3545281
TN
01
3913534
CIGNA MEDICARE
TN
01
4412677
NCPDP
TN
01
5731367
AETNA
TN
01
591Y1NO
BCBS OF MINNESOTA
TN
Enumeration date
05/03/2006
Last updated
03/07/2023
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