Organization
NHC HEALTHCARE-JOHNSON CITY LLC
Active
Other names
NHC HEALTH CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH SOUDER RPH (DIR OF PHRM)
(423) 282-3311
Entity
Organization
Contact information
Practice address
3209 BRISTOL HWY, JOHNSON CITY, TN 37601-1515
(423) 282-3311
(423) 282-5245
Mailing address
PO BOX 4777, JOHNSON CITY, TN 37602-4777
(423) 282-3311
(423) 282-5245
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
239
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2088835
PK
—
05
—
9448407
—
TN
Enumeration date
11/27/2006
Last updated
08/19/2016
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