Healthcare Provider Details

I. General information

NPI: 1194803601
Provider Name (Legal Business Name): HATMAKER FAMILY PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 01/25/2021
Certification Date: 01/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3318 ANDERSONVILLE HWY
ANDERSONVILLE TN
37705-3816
US

IV. Provider business mailing address

PO BOX 933
NORRIS TN
37828-0933
US

V. Phone/Fax

Practice location:
  • Phone: 865-494-8444
  • Fax: 865-494-8402
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number3117
License Number StateTN

VIII. Authorized Official

Name: THOMAS HUNT
Title or Position: OWNER
Credential:
Phone: 865-494-8444