Organization · Type 2 NPI

Jeff City Pharmacist Group LLC dba MD Pharmacy Store 2

Pharmacy · Jefferson City, TN

NPI number 1073979522 Active

Practice location

657 E Broadway Blvd
Jefferson City, TN 37760

Fax (865) 262-9778

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	None listed
Community/Retail Pharmacy	3336C0003X	5720 (TN)
Community/Retail Pharmacy	3336C0003X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

8 other providers at this address

Other pharmacy providers in Jefferson City

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NPI record

NPI: 1073979522
Entity type: Organization (Type 2)
Issued: Jan 13, 2016
Last updated: May 28, 2020
Status: Active

Other names

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M.d. Pharmacy Store 2 · doing business as
Bunch Medical, LLC dba MD Pharmacy Store 2 · former legal business name

Authorized official

Joshua R Blake, PharmD
Pic
(865) 262-9777

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About NPI 1073979522

Jeff City Pharmacist Group LLC dba MD Pharmacy Store 2's National Provider Identifier is 1073979522, issued on Jan 13, 2016. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Jefferson City, TN. The record was last updated on May 28, 2020.