Organization
KINGWOOD PHARMACY INC
Active
Other names
KINGWOOD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOE MUSICK (PRESIDENT)
(423) 629-1434
Entity
Organization
Contact information
Practice address
3824 RINGGOLD RD, CHATTANOOGA, TN 37412-1640
(423) 629-1434
(423) 629-9646
Mailing address
3824 RINGGOLD RD, CHATTANOOGA, TN 37412-1640
(423) 629-1434
(423) 629-9646
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
277
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2095233
PK
—
05
—
3513189
—
TN
Enumeration date
09/12/2006
Last updated
04/20/2016
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