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Contact Information

DEL MAR MEDICAL, INC.
198 E DIVISION ST
MOUNT JULIET, TN37122-3324
 Phone: 615-754-4667
 Fax: 615-754-2582
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Mail Order Pharmacy

3336M0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for DEL MAR MEDICAL, INC.

NPI Number 1861404139
LBN Legal business name DEL MAR MEDICAL, INC.
Authorized official MICKEY JACKSON - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/13/2006
Last updated 03/09/2017 - About 9 years ago
Identifiers
TN License # 2078
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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