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Medical Mall Pharmacy Inc
Pharmacy in Kingsport, Tennessee
NPI 1316191349

Medical Mall Pharmacy Inc is a Pharmacy based in Kingsport, TN. Medical Mall Pharmacy Inc practices in Kingsport, TN. The NPI Number for Medical Mall Pharmacy Inc is 1316191349 and holds a License No. 4582 (Tennessee).

The current practice location address for Medical Mall Pharmacy Inc is 105 W Stone Dr, Kingsport, TN and can be reached out via phone at 423-224-3555 and via fax at 423-224-3560.

Location: 105 W Stone Dr, Kingsport, TN, 37660-3256
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316191349
Provider Name
Medical Mall Pharmacy Inc
Credential
Provider Entity Type
Organization
Address
105 W Stone Dr, Kingsport, TN, 37660-3256
Phone Number
423-224-3555
Fax Number
423-224-3560
Provider Enumeration Date
11/04/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4442062 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
105 W Stone Dr
City
Kingsport
State
Tennessee
Zip
37660-3256
Phone Number
423-224-3555
Fax Number
423-224-3560
person
Provider Business Mailing Address Details
Address
105 W Stone Dr
City
Kingsport
State
Tennessee
Zip
37660-3256
Phone Number
423-224-3555
Fax Number
423-224-3560
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
4582 (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.
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