Organization Name: | NT MEDICAL CENTER PHARMACY, LLC |
NPI Number: | 1487723789 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ADAM E BOWLING (OWNER/MEMBER) |
Mailing Address: | 606 N Broad St New Tazewell |
State: | TN US |
Postal Code: | 378256610 |
Phone Number: | 4236265411 |
Fax Number: | 4236266538 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 05/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 6090070001 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |