Organization
JJ BEANS AT MOSSY CREEK LLC
Active
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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