Organization · Type 2 NPI

Boones Creek Pharmacy, Inc.

Long Term Care Pharmacy · Johnson City, TN

NPI number 1770199432 Active

Practice location

4729 N Roan St Ste 2
Johnson City, TN 37615-3886

Fax (423) 283-0990

Specialties and licenses

TaxonomyCodeLicense
Long Term Care Pharmacy Primary 3336L0003XNone listed

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.

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About NPI 1770199432

Boones Creek Pharmacy, Inc.'s National Provider Identifier is 1770199432, issued on Sep 18, 2020. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Johnson City, TN. The record was last updated on Apr 28, 2026.