EAST TENNESSEE STATE UNIVERSITY NPI 1154780716

NPI Information

NPI: 1154780716
Provider Name: EAST TENNESSEE STATE UNIVERSITY

Doing Business As: ETSU CHARITABLE PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
2151 CENTURY LN
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 926-2500
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EAST TENNESSEE STATE UNIVERSITY is a clinic pharmacy pharmacy in Johnson City, TN. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. EAST TENNESSEE STATE UNIVERSITY NPI is 1154780716. The provider is registered as an organization entity type.
The provider Is Doing Business As Etsu Charitable Pharmacy.

The provider's business location address is:

2151 CENTURY LN
JOHNSON CITY, TN
ZIP 37604-469
Phone: (423) 926-2500
Fax: (423) 926-5999

The provider's authorized official is David D Collins .
The authorized official title is Cfo, Vp Finance Admin and has the following contact phone number (423) 439-5884.

The enumeration date for this NPI number is 2/11/2016 and was last updated on 2/11/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336C0002X	Pharmacy	Clinic Pharmacy	5399	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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