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Mountain Valley Rx 05 Inc
Community/Retail Pharmacy in Jefferson City, Tennessee
NPI 1043364490

Mountain Valley Rx 05 Inc is a Community/Retail Pharmacy based in Dandridge, TN and is specialized in Community/Retail Pharmacy. Mountain Valley Rx 05 Inc practices in Jefferson City, TN. The NPI Number for Mountain Valley Rx 05 Inc is 1043364490 and holds a License No. (Tennessee).

The current practice location address for Mountain Valley Rx 05 Inc is 153 E Broadway Blvd, Jefferson City, TN and can be reached out via phone at 865-471-5111 and via fax at 865-471-5199.

Location: 153 E Broadway Blvd, Jefferson City, TN, 37725-0385
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043364490
Provider Name
Mountain Valley Rx 05 Inc
Credential
Provider Entity Type
Organization
Address
153 E Broadway Blvd, Jefferson City, TN, 37725-0385
Phone Number
865-471-5111
Fax Number
865-471-5199
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4437364 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
153 E Broadway Blvd
City
Jefferson City
State
Tennessee
Zip
37760-2517
Phone Number
865-471-5111
Fax Number
865-471-5199
person
Provider Business Mailing Address Details
Address
153 E Broadway Blvd
City
Jefferson City
State
Tennessee
Zip
37760-2517
Phone Number
865-471-5111
Fax Number
865-471-5199
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
3918 (Tennessee)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
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.
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