Organization · Type 2 NPI

Mountain States Health Alliance

Community/Retail Pharmacy · Johnson City, TN

NPI number 1407867070 Active

Practice location

523 N State Of Franklin Rd
Johnson City, TN 37604-8210

Call (423) 926-6154 Map

Fax (423) 926-5571

Mailing address

311 Princeton Rd Ste 1
Johnson City, TN 37601-2080

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	0000000490 (TN)
Compounding Pharmacy	3336C0004X	None listed
Home Infusion Therapy Pharmacy	3336H0001X	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 …

6 other providers at this address

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About NPI 1407867070

Mountain States Health Alliance's National Provider Identifier is 1407867070, issued on Aug 10, 2006. 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 Jul 9, 2026.