Organization
BAGGETT PHARMACY, INC
Active
Other names
Baggett HealthMart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD BAGGETT (PRESIDENT)
(865) 376-6452
Entity
Organization
Contact information
Practice address
133 E RACE ST, KINGSTON, TN 37763-2824
(865) 376-6452
(865) 376-7729
Mailing address
133 E RACE ST, KINGSTON, TN 37763-2824
(865) 376-6452
(865) 376-7729
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
214
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452133
—
TN
01
—
2168405
PK
—
Enumeration date
03/30/2017
Last updated
02/18/2021
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