EAST TENNESSEE STATE UNIVERSITY; NPI #1154780716

Contact Information

EAST TENNESSEE STATE UNIVERSITY

2151 CENTURY LN
JOHNSON CITY, TN 37604-4469

Phone: 423-926-2500
Fax: 423-926-5999
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Clinic Pharmacy	3336C0002X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for EAST TENNESSEE STATE UNIVERSITY

NPI # 1154780716

LBN Legal business name EAST TENNESSEE STATE UNIVERSITY

Authorized official DAVID COLLINS - (CFO, VP FINANCE ADMIN)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/11/2016

Last updated 02/11/2016 - About 10 years ago

Identifiers

License #

5399

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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EAST TENNESSEE STATE UNIVERSITY

Contact Information

Specialty

Clinic Pharmacy

NPI Profile & details for EAST TENNESSEE STATE UNIVERSITY

Reviews for EAST TENNESSEE STATE UNIVERSITY