Organization
BOONE DRUGS INC
Active
Other names
Mountain City Pharmacy & Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER W HODGES PHARMD (VICE PRESIDENT)
(828) 264-3055
Entity
Organization
Contact information
Practice address
1641 S SHADY ST, MOUNTAIN CITY, TN 37683-2015
(828) 355-3365
Mailing address
345 DEERFIELD RD, BOONE, NC 28607-5009
(828) 355-3365
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
332BP3500X
TN
332BX2000X
Oxygen Equipment & Supplies (DME)
332BX2000X
TN
333600000X
Pharmacy
3020
TN
Other
Enumeration date
11/06/2006
Last updated
03/07/2025
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