GOOD OLD DRUGSTORE INC

Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

GOOD OLD DRUGSTORE INC

8295 HIGHWAY 131
WASHBURN, TN 37888

Phone: 865-497-9999
Fax: 865-497-9990
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

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NPI Profile & details for GOOD OLD DRUGSTORE INC

NPI # 1790770519

LBN Legal business name GOOD OLD DRUGSTORE INC

Authorized official DAVID MALONE - (PIC)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/19/2005

Last updated 09/14/2007 - About 19 years ago

Identifiers

TN	License #	4193
	Other	4438443	OTHER ID NUMBER

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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