Healthcare Provider Details

I. General information

NPI: 1124102256
Provider Name (Legal Business Name): MONYEI HOLDINGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 07/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14402 DAYTON PIKE STE C
SALE CREEK TN
37373-7732
US

IV. Provider business mailing address

PO BOX 11416
CHATTANOOGA TN
37401-2416
US

V. Phone/Fax

Practice location:
  • Phone: 423-451-0451
  • Fax: 423-451-0257
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number4058
License Number StateTN

VIII. Authorized Official

Name: CHRISTIAN MONYEI
Title or Position: FOUNDER AND PHARMACIST
Credential:
Phone: 423-451-0451