Organization
MOONEY'S PHARMACY
Active
Other names
MOONEY'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MOONEY DPH (PRESIDENT/ PHARMACIST)
(423) 926-7333
Entity
Organization
Contact information
Practice address
1107 N ROAN ST, JOHNSON CITY, TN 37601-3901
(423) 926-7333
(423) 926-6222
Mailing address
1107 N ROAN ST, JOHNSON CITY, TN 37601-3901
(423) 926-7333
(423) 926-6222
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1663
TN
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454962
—
TN
01
—
2089868
PK
—
Enumeration date
12/15/2006
Last updated
07/19/2018
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