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GOOD OLD DRUGSTORE INC NPI 1790770519


NPI Information

NPI: 1790770519
Provider Name: GOOD OLD DRUGSTORE INC
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
8295 HIGHWAY 131
WASHBURN, TN
ZIP 37888
Phone: (865) 497-9999
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GOOD OLD DRUGSTORE INC is a community/retail pharmacy pharmacy in Washburn, 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. GOOD OLD DRUGSTORE INC NPI is 1790770519. The provider is registered as an organization entity type.

The provider's business location address is:

8295 HIGHWAY 131
WASHBURN, TN
ZIP 37888
Phone: (865) 497-9999
Fax: (865) 497-9990

The provider's authorized official is David Malone .
The authorized official title is Pic and has the following contact phone number (865) 497-9999.

The enumeration date for this NPI number is 9/19/2005 and was last updated on 9/14/2007.


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 Pharmacy4193TENNESSEEYes

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
14438443OTHEROTHER ID NUMBER

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: 11/14/2023

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