Organization
PRESCRIPTION SPECIALTIES LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH MOSELEY NOWELL JR. PHARM. D. (OWNER/PHARMACIST)
(865) 986-8633
Entity
Organization
Contact information
Practice address
721 HIGHWAY 321 N, LENOIR CITY, TN 37771-5003
(865) 986-8633
(865) 988-8387
Mailing address
721 HIGHWAY 321 N, LENOIR CITY, TN 37771-5003
(865) 986-8633
(865) 988-8387
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
3594
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3594
PHARMACY STATE LICENSE #
TN
01
—
4436576
NCPDP
TN
01
—
62-1858207
FEDERAL TAX ID#
TN
01
—
BP7194323
CSID
TN
Enumeration date
05/29/2008
Last updated
03/07/2023
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