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NPI Code Detail

MEDICARE: EAST TENNESSEE REGIONAL PHARMACY

MEDICARE: EAST TENNESSEE REGIONAL PHARMACY
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
1251K00000XPublic Health or Welfare Agency375TN

General Provider Information

NPI Number : 1124240429
Entity Type Code : Organization
Provider Name (Legal Business Name) : EAST TENNESSEE REGIONAL PHARMACY
Provider Business Mailing Address
First Line : 810 W CHURCH ST.
Second Line :
City : GREENEVILLE
State : TN
Zip : 37744-0159
Country : US
Telephone Number : 423-798-1749
Fax Number :
Provider Business Practice Location Address
First Line : 810 W CHURCH ST
Second Line :
City : GREENEVILLE
State : TN
Zip : 37744-0159
Country : US
Telephone Number : 423-798-1749
Fax Number :
Authorized Official
Title or Position : PHARMACIST
Name : MR. JOEY PRICHARD
Credential : D.PH.
Telephone Number : 423-798-1749
Provider Enumeration Date : 05/03/2007
Last Update Date : 08/22/2020

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Directions to “EAST TENNESSEE REGIONAL PHARMACY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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