Organization
KINGWOOD PHARMACY
Active
Other names
Kingwood Medical Equip
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA J MILLER (MEDICAL EQUIPMENT ADMIN)
(423) 629-1434
Entity
Organization
Contact information
Practice address
3824 RINGGOLD RD, CHATTANOOGA, TN 37412
(423) 624-1434
(423) 629-9646
Mailing address
3824 RINGGOLD RD, CHATTANOOGA, TN 37412
(423) 624-1434
(423) 629-9646
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025145
BLUE CROSS
—
05
—
3513189
—
TN
Enumeration date
04/18/2007
Last updated
08/22/2020
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