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BLOUNT DISCOUNT PHARMACY INC NPI 1275894735


NPI Information

NPI: 1275894735
Provider Name: BLOUNT DISCOUNT PHARMACY INC

Doing Business As: BLOUNT DISCOUNT PHARMACY-LTC

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 44D2050407

Address:
152 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN
ZIP 37804
Phone: (865) 379-8524
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BLOUNT DISCOUNT PHARMACY INC is a long term care pharmacy pharmacy in Maryville, TN. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. BLOUNT DISCOUNT PHARMACY INC NPI is 1275894735. The provider is registered as an organization entity type.
The provider Is Doing Business As Blount Discount Pharmacy-ltc.

The provider's business location address is:

152 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN
ZIP 37804-902
Phone: (865) 379-8524
Fax: (865) 983-8758

The provider's authorized official is Hamilton Borden .
The authorized official title is Vice-president /pharmacist and has the following contact phone number (865) 681-0520.

The CLIA number assigned to this NPI record is 44D2050407 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2012 and was last updated on 3/6/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care Pharmacy4986TENNESSEEYes
33336S0011XPharmacySpecialty PharmacyNo

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12135366OTHERPK
21534059MEDICAIDTENNESSEE

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

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