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Contact Information

MAYNARDVILLE DRUG LLC
2975 MAYNARDVILLE HWY
MAYNARDVILLE, TN37807
 Phone: 865-658-5353
 Fax: 865-658-5354
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MAYNARDVILLE DRUG LLC

NPI # 1053963975
LBN Legal business name MAYNARDVILLE DRUG LLC
Authorized official MICHELLE HALFORD - (OWNER/PIC)
Entity Organization
Organization subpart 1 No
Enumeration date 07/11/2019
Last updated 01/06/2021 - About 5 years ago
Identifiers n/a
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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