WEST TOWNE PHARMACY INC NPI 1700955861

NPI Information

WEST TOWNE PHARMACY, INC is a pharmacy in Johnson City, TN. The provider is 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. WEST TOWNE PHARMACY, INC NPI is 1700955861. The provider is registered as an organization entity type.

The provider's business location address is:

1619 W MARKET ST
JOHNSON CITY, TN
ZIP 37604-018
Phone: (423) 926-9137
Fax: (423) 926-7321

The provider's authorized official is Lee Renfro .
The authorized official title is Owner and has the following contact phone number (423) 926-9137.

The CLIA number assigned to this NPI record is 44D2140074 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 8/27/2015.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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