Organization
JJ BEANS AT MOONEYS LLC
Active
Other names
Mooney's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD B HUNTSMAN PHARMD (OWNER)
(423) 312-3856
Entity
Organization
Contact information
Practice address
1107 N ROAN ST, JOHNSON CITY, TN 37601-3901
(423) 926-7333
Mailing address
1107 N ROAN ST, JOHNSON CITY, TN 37601-3901
(423) 926-7333
(423) 926-6222
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1663
TN
3336C0004X
Compounding Pharmacy
1663
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q037654
—
TN
Enumeration date
05/14/2018
Last updated
10/28/2020
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