Organization · Type 2 NPI

Jellico Drug Store Inc

Community/Retail Pharmacy · Jellico, TN

NPI number 1093753196 Active

Practice location

229 S Main St
Jellico, TN 37762-2018

Fax (423) 784-2947

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500XNone listed
Community/Retail Pharmacy Primary 3336C0003X472 (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 …

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About NPI 1093753196

Jellico Drug Store Inc's National Provider Identifier is 1093753196, issued on Jun 2, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Jellico, TN. The record was last updated on Sep 1, 2015.