Organization
UNION PRESCRIPTION OF ELIZABETHTON TENNESSEE INC
Active
Other names
UNION PRESCRIPTION SHOP
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ANDERSON DPH (PRES/PIC)
(423) 543-3508
Entity
Organization
Contact information
Practice address
402 BEMBERG RD, ELIZABETHTON, TN 37643-2938
(423) 543-3508
(423) 543-3493
Mailing address
402 BEMBERG RD, ELIZABETHTON, TN 37643-2938
(423) 543-3508
(423) 543-3493
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
404
TN
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3533062
—
TN
01
—
4403109
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/06/2007
Last updated
02/24/2011
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