MEDI MART PHARMACY NPI 1861407496

NPI Information

MEDI MART PHARMACY is a pharmacy in Cleveland, 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. MEDI MART PHARMACY NPI is 1861407496. The provider is registered as an organization entity type.

The provider's business location address is:

5030 GEORGETOWN RD NW
CLEVELAND, TN
ZIP 37312-309
Phone: (423) 472-5548
Fax: (423) 472-6400

The provider's authorized official is Joe Moore .
The authorized official title is Owner and has the following contact phone number (423) 476-7947.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 4/20/2008.

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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