Medical Mall Pharmacy Inc
Pharmacy in Bristol, Tennessee
NPI 1598768699
Medical Mall Pharmacy Inc is a Pharmacy based in Bristol, TN. Medical Mall Pharmacy Inc practices in Bristol, TN. The NPI Number for Medical Mall Pharmacy Inc is 1598768699 and holds a License No. (Tennessee).
The current practice location address for Medical Mall Pharmacy Inc is 1 Medical Park Blvd, Bristol, TN and can be reached out via phone at 423-844-2888 and via fax at423-844-2891. You can also correspond with Medical Mall Pharmacy Inc through the mailing address at 1 MEDICAL PARK BLVD STE 106, BRISTOL, TN - 37620-7430 (mailing address contact number: ).
Provider Profile Details
NPI Number
1598768699
Provider Name
Medical Mall Pharmacy Inc
Credential
Provider Entity Type
Organization
Address
1 Medical Park Blvd, Bristol, TN, 37620-7430
Phone Number
423-844-2888
Fax Number
423-844-2891
Provider Enumeration Date
05/23/2005
Last Update Date
04/30/2009
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4428719 | 01 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 008503257 | 05 | TN |
Provider Business Practice Location Address Details
Address
1 Medical Park Blvd
City
Bristol
State
Tennessee
Zip
37620-7430
Phone Number
423-844-2888
Fax Number
423-844-2891
Provider Business Mailing Address Details
Address
1 Medical Park Blvd Ste 106
City
Bristol
State
Tennessee
Zip
37620-7430
Phone Number
Fax Number
Provider's Primary Taxonomy Details
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
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.