Organization
JJ BEANS AT MOSSY CREEK LLC
Active
Other names
Mossy Creek Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD HUNTSMAN PHARMD (MANAGING MEMBER)
(423) 586-0721
Entity
Organization
Contact information
Practice address
1404 S SIZER AVE STE A, JEFFERSON CITY, TN 37760-2411
(423) 586-0721
Mailing address
2106 E ANDREW JOHNSON HWY, MORRISTOWN, TN 37814-5412
(423) 586-0721
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
03/13/2024
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