Organization
COMPOUNDING PHARMACY OF KINGSTON INC
Active
Other names
BAGGETT COMPOUNDING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD BAGGETT PHARMD (OWNER)
(865) 376-6452
Entity
Organization
Contact information
Practice address
145 E RACE ST, KINGSTON, TN 37763-2824
(865) 376-6452
(865) 376-7729
Mailing address
145 E RACE ST, KINGSTON, TN 37763-2824
(865) 376-6452
(865) 376-7729
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
3632
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4435764
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/06/2007
Last updated
03/05/2012
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