Organization
JJ BEANS LLC
Active
Other names
College Park Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD BARCLAY HUNTSMAN PHARMD (MANAGING MEMBER)
(423) 586-0721
Entity
Organization
Contact information
Practice address
2106 E ANDREW JOHNSON HWY, MORRISTOWN, TN 37814-5412
(423) 586-0721
(423) 587-5419
Mailing address
2106 E ANDREW JOHNSON HWY, MORRISTOWN, TN 37814-5412
(423) 586-0721
(423) 587-5419
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
706
TN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q045972
—
TN
Enumeration date
02/14/2007
Last updated
07/18/2023
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