Organization · Type 2 NPI

East Tennessee State University

Clinic Pharmacy · Johnson City, TN

NPI number 1154780716 Active

Practice location

2151 Century Ln
Johnson City, TN 37604-4469

Call (423) 926-2500 Map

Fax (423) 926-5999

Mailing address

PO Box 70403
Johnson City, TN 37614-1703

Specialties and licenses

TaxonomyCodeLicense
Clinic Pharmacy Primary 3336C0002X5399 (TN)

Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

33 other providers at this address

About NPI 1154780716

East Tennessee State University's National Provider Identifier is 1154780716, issued on Feb 11, 2016. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Johnson City, TN. The record was last updated on Feb 11, 2016.