Organization · Type 2 NPI

State of Tennessee State F & A Payroll

Long Term Care Pharmacy · Chattanooga, TN

NPI number 1104869486 Active

Practice location

100 Moccasin Bend Rd
Chattanooga, TN 37405-4415

Call (423) 785-3321 Map

Fax (423) 785-3454

Specialties and licenses

TaxonomyCodeLicense
Institutional Pharmacy 3336I0012XNone listed
Long Term Care Pharmacy Primary 3336L0003XL2(16)M21051098 (TN)

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

19 other providers at this address

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About NPI 1104869486

State of Tennessee State F & A Payroll's National Provider Identifier is 1104869486, issued on Jun 14, 2006. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Chattanooga, TN. The record was last updated on Oct 14, 2014.