Healthcare Provider Details

I. General information

NPI: 1285182352
Provider Name (Legal Business Name): TAZEWELL DRUG & HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2016
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

951 N BROAD ST
TAZEWELL TN
37879-4323
US

IV. Provider business mailing address

951 N BROAD ST
TAZEWELL TN
37879-4323
US

V. Phone/Fax

Practice location:
  • Phone: 423-259-8661
  • Fax:
Mailing address:
  • Phone: 423-259-8661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number00005864
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: LLOYD HARRIS
Title or Position: OWNER/PHARMACIST
Credential:
Phone: 865-661-3506