Organization
CLAIBORNE COUNTY HOSPITAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY PAYNE KELLEY PHARMD (DIRECTOR OF PHARMACY)
(423) 526-2224
Entity
Organization
Contact information
Practice address
1850 OLD KNOXVILLE RD, TAZEWELL, TN 37879-3625
(423) 526-2224
Mailing address
1850 OLD KNOXVILLE RD, TAZEWELL, TN 37879-3625
(423) 526-2224
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
1357
TN
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3736122
MEDICARE PTAN/MEDICARE B
TX
01
—
4415902
NABP
TN
Enumeration date
02/20/2007
Last updated
07/08/2020
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