Organization · Type 2 NPI

Minnis Drug Store Inc

Managed Care Organization Pharmacy · Knoxville, TN

NPI number 1831272129 Active

Practice location

1250 Tennova Medical Way
Knoxville, TN 37909-3120

Call (865) 895-6072 Map

Mailing address

PO Box 369
Morristown, TN 37815-0369

Other practice locations

1035 S Cumberland St, Morristown, TN 37813-5236 · (423) 586-4562
1613 Glenn Blvd SW, Fort Payne, AL 35968-3531 · (256) 845-0128

Specialties and licenses

Taxonomy	Code	License
Managed Care Organization Pharmacy Primary	3336M0003X	0000001975 (TN)

Managed Care Organization Pharmacy: A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.

5 other providers at this address

NPI record

NPI: 1831272129
Entity type: Organization (Type 2)
Issued: Oct 23, 2006
Last updated: Feb 28, 2023
Status: Active

Other names

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Minnis Drugs · other name
Minnis Drugs · other name

Authorized official

Mr. Robert Kenneth Cantwell, DPH PHARMACY
Owner Chief Pharmicist
(423) 586-4562

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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 1831272129

Minnis Drug Store Inc's National Provider Identifier is 1831272129, issued on Oct 23, 2006. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Knoxville, TN. The record was last updated on Feb 28, 2023.