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Contact Information

DECATUR WILL SAV INC
17619 HWY 58 N
DECATUR, TN37322
 Phone: 423-334-5223
 Fax: 423-334-9732
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for DECATUR WILL SAV INC

NPI # 1518012269
LBN Legal business name DECATUR WILL SAV INC
Authorized official ROGER HARRSION - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/24/2007
Last updated 10/10/2016 - About 10 years ago
Identifiers
TN License # 0000000320
TN Medicaid 1452294
Other 2088602 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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