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NPI Code Detail

MEDICARE: ACME PHARMACY INC

MEDICARE: ACME 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
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0003XCommunity/Retail Pharmacy2952TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14441224OTHERTNNCPDP

General Provider Information

NPI Number : 1790959823
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACME PHARMACY INC
Provider Business Mailing Address
First Line : 1238 EAST JACKSON BLVD
Second Line :
City : JONESBOROUGH
State : TN
Zip : 37659-1507
Country : US
Telephone Number : 423-753-2441
Fax Number : 423-753-0477
Provider Business Practice Location Address
First Line : 1238 EAST JACKSON BLVD
Second Line :
City : JONESBOROUGH
State : TN
Zip : 37659-1507
Country : US
Telephone Number : 423-753-2441
Fax Number : 423-753-0477
Authorized Official
Title or Position : OWNER
Name : MATTHEW B EPLING
Credential :
Telephone Number : 423-753-2441
Provider Enumeration Date : 04/18/2008
Last Update Date : 03/07/2023

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Directions to “ACME PHARMACY INC ” Practice Location

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