Organization
CAMPBELL COUNTY HMA LLC
Active
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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