National Provider Identifier Database

COLONIAL HEIGHTS PHARMACY INC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

COLONIAL HEIGHTS PHARMACY, INC.
4221 FT. HENRY DRIVE
KINGSPORT, TN37663
Phone: 423-239-9191
Fax: 423-239-0382
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X

* Indicates primary specialty

NPI Profile & details for COLONIAL HEIGHTS PHARMACY, INC.

NPI Number 1619003399
Legal business name
LBN
COLONIAL HEIGHTS PHARMACY, INC.
Authorized official MARTHA DUNN - (PHARMACIST / PIC)
Entity Organization
Organization subpart No
Enumeration date 02/26/2007
Last updated 10/13/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: 500
  • TN Medicaid: 1452937

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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