Organization
CAMPBELL COUNTY HMA LLC
Active
Other names
Tennova HealthCare LaFollette Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
LEE SEARGEANT (DIRECTOR OF PHARMACY)
(423) 907-1489
Entity
Organization
Contact information
Practice address
923 E CENTRAL AVE, LA FOLLETTE, TN 37766-2768
(423) 907-1489
Mailing address
923 E CENTRAL AVE, LA FOLLETTE, TN 37766-2768
(423) 907-1489
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
1360
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135821
PK
—
Enumeration date
11/18/2005
Last updated
06/12/2014
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