Healthcare Provider Details

I. General information

NPI: 1124199146
Provider Name (Legal Business Name): DOCTORS HOSPITAL PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 06/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 W MORRIS BLVD STE 160B
MORRISTOWN TN
37813-2262
US

IV. Provider business mailing address

420 W MORRIS BLVD STE 160B
MORRISTOWN TN
37813-2262
US

V. Phone/Fax

Practice location:
  • Phone: 423-586-6612
  • Fax: 423-586-1431
Mailing address:
  • Phone:
  • 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 Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number1241
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: TERRY BRIMER
Title or Position: PRESIDENT
Credential: PHRMD
Phone: 423-586-6612