Healthcare Provider Details

I. General information

NPI: 1871000554
Provider Name (Legal Business Name): TIPTON PROPERTIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2018
Last Update Date: 10/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 EAST MAIN STREET SUITE A
FRANKLIN NC
28734
US

IV. Provider business mailing address

626 JIM MANN RD
FRANKLIN NC
28734-0600
US

V. Phone/Fax

Practice location:
  • Phone: 828-524-8900
  • Fax:
Mailing address:
  • Phone: 828-371-3544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JAMIE LEIGH TIPTON
Title or Position: PIC/OWNER
Credential: PHARMD
Phone: 828-524-8900