Organization
NT MEDICAL CENTER PHARMACY, LLC
Active
Other names
Medical Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM E BOWLING (OWNER/MEMBER)
(423) 626-5411
Entity
Organization
Contact information
Practice address
606 N BROAD ST, NEW TAZEWELL, TN 37825-6610
(423) 626-5411
(423) 626-6538
Mailing address
PO BOX 1649, NEW TAZEWELL, TN 37824-1649
(423) 626-5411
(423) 626-6538
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
6090070001
—
3336C0003X
Community/Retail Pharmacy
Primary
446
TN
3336C0004X
Compounding Pharmacy
446
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4410572
NCPDP
—
Enumeration date
11/08/2006
Last updated
05/16/2016
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