Organization · Type 2 NPI

Mountain Valley RX 05 Inc

Community/Retail Pharmacy · Jefferson City, TN

NPI number 1043364490 Active

Practice location

153 E Broadway Blvd, Ste 103
Jefferson City, TN 37760-2517

Fax (865) 471-5199

Mailing address

PO Box 385
Dandridge, TN 37725-0385

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Community/Retail Pharmacy Primary 3336C0003X3918 (TN)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

8 other providers at this address

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About NPI 1043364490

Mountain Valley RX 05 Inc's National Provider Identifier is 1043364490, issued on Jan 23, 2007. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Jefferson City, TN. The record was last updated on Mar 30, 2010.