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NPI Code Detail

MEDICARE: VOLUNTEER PHARMACY INC

MEDICARE: VOLUNTEER PHARMACY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336M0002XMail Order Pharmacy
23336S0011XSpecialty Pharmacy
3332B00000XDurable Medical Equipment & Medical Supplies
4333600000XPharmacy
53336C0004XCompounding Pharmacy
63336C0003XCommunity/Retail Pharmacy5455TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12148166OTHERPK

General Provider Information

NPI Number : 1063815470
Entity Type Code : Organization
Provider Name (Legal Business Name) : VOLUNTEER PHARMACY INC
Provider Business Mailing Address
First Line : 2559A WILLOW POINT WAY
Second Line :
City : KNOXVILLE
State : TN
Zip : 37931
Country : US
Telephone Number : 865-560-0135
Fax Number : 865-694-4489
Provider Business Practice Location Address
First Line : 2559 WILLOW POINT WAY
Second Line :
City : KNOXVILLE
State : TN
Zip : 37931-3162
Country : US
Telephone Number : 865-560-0135
Fax Number : 865-694-4489
Authorized Official
Title or Position : OWNER, PIC
Name : MRS. CAMILLA FROST
Credential : PHARM.D.
Telephone Number : 865-560-0135
Provider Enumeration Date : 09/30/2014
Last Update Date : 01/07/2021

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1265949341 — MRS. CAMILLA FROST PHARM.D.
Practice Location Address:
2559 WILLOW POINT WAY
KNOXVILLE, TN
37931-3162
Practice Phone: 865-560-0135
Practice Fax: 865-694-4489

Directions to “VOLUNTEER PHARMACY INC ” Practice Location

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