EAGLE DEN DISCOUNT DRUG LLC NPI 1396566238

NPI Information

  • NPI: 1396566238
  • Provider Name: EAGLE DEN DISCOUNT DRUG, LLC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • CLIA Number: 44D2323718
  • Address: 11510 CHAPMAN HWY
    SEYMOUR, TN
    ZIP 37865
  • Phone: (865) 299-4044

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NPI Details

EAGLE DEN DISCOUNT DRUG, LLC is a long term care pharmacy pharmacy in Seymour, 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. EAGLE DEN DISCOUNT DRUG, LLC NPI is 1396566238. The provider is registered as an organization entity type.

The provider's business location address is:

11510 CHAPMAN HWY
SEYMOUR, TN
ZIP 37865-044
Phone: (865) 299-4044
Fax: (865) 299-4046

The provider's authorized official is Robert Wayne Bullington .
The authorized official title is President and has the following contact phone number (865) 299-4044.

The CLIA number assigned to this NPI record is 44D2323718 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2024 and was last updated on 10/23/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care PharmacyYes

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: 11/21/2025

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