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Contact Information

GEAN GROUP HENDERSON
689 KIMBERLY DR
HENDERSON, TN38340
 Phone: 731-989-7180
 Fax: 731-989-9109
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for GEAN GROUP HENDERSON

NPI # 1750329272
LBN Legal business name GEAN GROUP HENDERSON
Authorized official JIMMY GEAN - (OWNER/PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 06/04/2006
Last updated 03/24/2022 - About 4 years ago
Identifiers
TN License # 3418
TN License # 7703
TN Medicaid 1452448
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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