MEDICARE: BLOUNT DISCOUNT 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
1	333600000X	Pharmacy
2	163WD0400X	Diabetes Educator Registered Nurse
3	3336C0003X	Community/Retail Pharmacy	3160	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2092172	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831134972
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLOUNT DISCOUNT PHARMACY INC

Provider Business Mailing Address
First Line	:	131 MONTGOMERY LN
Second Line	:
City	:	MARYVILLE
State	:	TN
Zip	:	37803-5649
Country	:	US
Telephone Number	:	865-681-0520
Fax Number	:	865-681-8226

Provider Business Practice Location Address
First Line	:	131 MONTGOMERY LN
Second Line	:
City	:	MARYVILLE
State	:	TN
Zip	:	37803-5649
Country	:	US
Telephone Number	:	865-681-0520
Fax Number	:	865-681-8226

Authorized Official
Title or Position	:	PRESIDENT
Name	:	AMANDA ODUM
Credential	:
Telephone Number	:	865-681-0520

Provider Enumeration Date	:	06/20/2006
Last Update Date	:	04/24/2026

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Directions to “BLOUNT DISCOUNT PHARMACY INC ” Practice Location

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