Healthcare Provider Details

I. General information

NPI: 1679546782
Provider Name (Legal Business Name): ACCESS DRUGS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 12/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4062 HIXSON PIKE
CHATTANOOGA TN
37415-3110
US

IV. Provider business mailing address

4062 HIXSON PIKE
CHATTANOOGA TN
37415-3110
US

V. Phone/Fax

Practice location:
  • Phone: 423-877-3568
  • Fax: 423-877-2111
Mailing address:
  • Phone: 423-877-3568
  • Fax: 423-877-2111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number2059
License Number StateTN

VIII. Authorized Official

Name: MRS. RETA J STANDEFER
Title or Position: CO-OWNER
Credential: BSN
Phone: 423-877-3568