Organization · Type 2 NPI

Boones Creek Pharmacy, Inc.

Community/Retail Pharmacy · Johnson City, TN

NPI number 1073940334 Active

Practice location

4729 N Roan St, Ste 2
Johnson City, TN 37615-3886

Call (423) 283-0911 Map

Fax (423) 283-0990

Mailing address

4729 N Roan St Ste 2
Johnson City, TN 37615-3733

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	0000002064 (TN)
Compounding Pharmacy	3336C0004X	None listed

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 …

3 other providers at this address

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About NPI 1073940334

Boones Creek Pharmacy, Inc.'s National Provider Identifier is 1073940334, issued on Oct 2, 2013. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Johnson City, TN. The record was last updated on Apr 28, 2026.