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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