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ANDERSON COMPOUNDING PHARMACY INC NPI 1760437347


NPI Information

NPI: 1760437347
Provider Name: ANDERSON COMPOUNDING PHARMACY INC

Doing Business As: ANDERSON COMPOUNDING PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 44D1075251

Address:
310 BLUFF CITY HWY
BRISTOL, TN
ZIP 37620
Phone: (423) 764-4136
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ANDERSON COMPOUNDING PHARMACY INC is a community/retail pharmacy pharmacy in Bristol, TN. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. ANDERSON COMPOUNDING PHARMACY INC NPI is 1760437347. The provider is registered as an organization entity type.
The provider Is Doing Business As Anderson Compounding Pharmacy.

The provider's business location address is:

310 BLUFF CITY HWY
BRISTOL, TN
ZIP 37620-602
Phone: (423) 764-4136
Fax: (423) 764-5167

The provider's authorized official is Roy Anderson .
The authorized official title is Owner Pharmacist and has the following contact phone number (423) 764-4136.

The CLIA number assigned to this NPI record is 44D1075251 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 9/13/2007.


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
23336C0003XPharmacyCommunity/Retail Pharmacy2113TENNESSEEYes

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
18508895MEDICAIDVIRGINIA
20650590001MEDICARE NSC
34425903OTHEROTHER ID NUMBER
40445728MEDICAIDNORTH CAROLINA
54425903MEDICAIDTENNESSEE

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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