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Contact Information

CLARKS MEDICAL CENTER PHARMACY
206 ROBERTS ST
LIVINGSTON, TN38570-1506
 Phone: 931-823-5534
 Fax: 931-823-5534
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Maintenance Organization

302R00000X
Indicates primary specialty

NPI Profile & details for CLARKS MEDICAL CENTER PHARMACY

NPI # 1740379080
LBN Legal business name CLARKS MEDICAL CENTER PHARMACY
Authorized official MALCOLM CLARK - (PHARMACIST/MANAGER/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/12/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
TN License # 0000001154
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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