Organization
MEDICINE COUNTER 01 INC
Active
Organization
MEDICINE COUNTER 01 INC
Active
Other names
Medicine Counter
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIMANSHU ASHOKKUMAR PATEL PHARMD (PRESIDENT)
(423) 680-7373
Entity
Organization
Contact information
Practice address
5506 HIGHWAY 153 STE 102, HIXSON, TN 37343-5084
(423) 680-7373
Mailing address
5506 HIGHWAY 153 STE 102, HIXSON, TN 37343-5084
(423) 680-7373
(423) 509-8394
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00006481
PHARMACY LICENSE - STATE OF TENNESSEE
TN
05
—
Q045436
—
TN
Enumeration date
10/05/2018
Last updated
04/21/2021
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