Healthcare Provider Details

I. General information

NPI: 1285395368
Provider Name (Legal Business Name): AB PHARMACIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/01/2022
Last Update Date: 01/01/2022
Certification Date: 01/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1510 GUNBARREL RD STE 500
CHATTANOOGA TN
37421-7175
US

IV. Provider business mailing address

3712 RINGGOLD RD # 152
CHATTANOOGA TN
37412-1638
US

V. Phone/Fax

Practice location:
  • Phone: 629-204-4277
  • Fax:
Mailing address:
  • Phone: 629-204-4277
  • 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 Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ANDREW HAWKINS
Title or Position: COMPLIANCE OFFICER
Credential:
Phone: 629-204-4277