Organization
CLAIBORNE COUNTY HOSPITAL PHARMACY
Active
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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