National Provider Identifier Database

EAST TENNESSEE STATE UNIVERSITY
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

EAST TENNESSEE STATE UNIVERSITY
2151 CENTURY LN
JOHNSON CITY, TN37604-4469
Phone: 423-926-2500
Fax: 423-926-5999
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for EAST TENNESSEE STATE UNIVERSITY

NPI Number 1154780716
Legal business name
LBN
EAST TENNESSEE STATE UNIVERSITY
Authorized official DAVID COLLINS - (CFO, VP FINANCE ADMIN)
Entity Organization
Organization subpart No
Enumeration date 02/11/2016
Last updated 02/11/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: 5399

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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