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Contact Information

CUMBERLAND SPECIAL CARE PHARMACY LLC
3106 MILLER AVE STE 101
CROSSVILLE, TN38555-6118
 Phone: 931-456-0680
 Fax: 931-456-4857
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CUMBERLAND SPECIAL CARE PHARMACY LLC

NPI # 1215319892
LBN Legal business name CUMBERLAND SPECIAL CARE PHARMACY LLC
Authorized official LANDON HEADRICK - (OWNER/PIC)
Entity Organization
Organization subpart 1 No
Enumeration date 06/19/2015
Last updated 02/01/2021 - About 5 years ago
Identifiers
TN License # 5708
TN Medicaid Q020116
Other 2157234 PK
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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