Organization
CAVE'S DRUG STORE INC.
Active
Other names
CAVES DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CAVE RPH (OWNER/RPH/AO)
(423) 245-1341
Entity
Organization
Contact information
Practice address
1328 S JB DENNIS HWY STE A, KINGSPORT, TN 37660-5495
(423) 245-1341
(423) 245-1164
Mailing address
1328 S JB DENNIS HWY STE A, KINGSPORT, TN 37660-5495
(423) 245-1341
(423) 245-1164
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000000511
TN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811015928
—
TN
01
—
2095610
PK
—
Enumeration date
03/27/2007
Last updated
02/20/2017
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