Organization · Type 2 NPI

East Tennessee Children's Hospital Association, Inc.

Community/Retail Pharmacy · Knoxville, TN

NPI number 1528635455 Active

Practice location

2018 Clinch Avenue, Outpatient Pharmacy
Knoxville, TN 37916-2301

Fax (865) 541-8429

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	None listed
Compounding Pharmacy	3336C0004X	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 …

23 other providers at this address

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NPI record

NPI: 1528635455
Entity type: Organization (Type 2)
Issued: Jun 9, 2021
Last updated: Sep 12, 2024
Status: Active
Subpart: Yes of East Tennessee Children's Hospital Association, Inc.

Other names

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East Tennessee Children's Hospital Outpatient Pharmacy · doing business as
East Tennessee Children's Hospital Outpatient Pharmacy · doing business as

Authorized official

Mr. Steven R Godbold
Vice President - Operations
(865) 541-8492

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1528635455

East Tennessee Children's Hospital Association, Inc.'s National Provider Identifier is 1528635455, issued on Jun 9, 2021. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Knoxville, TN. The record was last updated on Sep 12, 2024.