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Medical Mall Pharmacy Inc
Community/Retail Pharmacy in Kingsport, Tennessee
NPI 1275536997

Medical Mall Pharmacy Inc is a Community/Retail Pharmacy based in Kingsport, TN and is specialized in Community/Retail Pharmacy. Medical Mall Pharmacy Inc practices in Kingsport, TN. The NPI Number for Medical Mall Pharmacy Inc is 1275536997 and holds a License No. (Tennessee).

The current practice location address for Medical Mall Pharmacy Inc is 130 W Ravine Rd, Kingsport, TN and can be reached out via phone at 423-224-6860 and via fax at 423-224-5654.

Location: 130 W Ravine Rd, Kingsport, TN, 37660-3837
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275536997
Provider Name
Medical Mall Pharmacy Inc
Credential
Provider Entity Type
Organization
Address
130 W Ravine Rd, Kingsport, TN, 37660-3837
Phone Number
423-224-6860
Fax Number
423-224-5654
Provider Enumeration Date
05/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3130747 05 TN
4433378 01 NCPDP PROVIDER IDENTIFICATION NUMBER
8517916 05 VA
institution
Provider Business Practice Location Address Details
Address
130 W Ravine Rd
City
Kingsport
State
Tennessee
Zip
37660-3837
Phone Number
423-224-6860
Fax Number
423-224-5654
person
Provider Business Mailing Address Details
Address
130 W Ravine Rd
City
Kingsport
State
Tennessee
Zip
37660-3837
Phone Number
423-224-6860
Fax Number
423-224-5654
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
C3413 (Tennessee)
Definition
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.
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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