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Boones Creek Pharmacy, Inc.
Long Term Care Pharmacy in Johnson City, Tennessee
NPI 1770199432

Boones Creek Pharmacy, Inc. is a Long Term Care Pharmacy based in Johnson City, TN and is specialized in Long Term Care Pharmacy. Boones Creek Pharmacy, Inc. practices in Johnson City, TN. The NPI Number for Boones Creek Pharmacy, Inc. is 1770199432 and holds a License No. (Tennessee).

The current practice location address for Boones Creek Pharmacy, Inc. is 4729 N Roan St Ste 2, Johnson City, TN and can be reached out via phone at 423-283-0911 and via fax at 423-283-0990.

Location: 4729 N Roan St Ste 2, Johnson City, TN, 37615-3886
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770199432
Provider Name
Boones Creek Pharmacy, Inc.
Credential
Provider Entity Type
Organization
Address
4729 N Roan St Ste 2, Johnson City, TN, 37615-3886
Phone Number
423-283-0911
Fax Number
423-283-0990
Provider Enumeration Date
09/18/2020
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
Q036582 05 TN
institution
Provider Business Practice Location Address Details
Address
4729 N Roan St Ste 2
City
Johnson City
State
Tennessee
Zip
37615-3886
Phone Number
423-283-0911
Fax Number
423-283-0990
person
Provider Business Mailing Address Details
Address
4729 N Roan St Ste 2
City
Johnson City
State
Tennessee
Zip
37615-3886
Phone Number
423-283-0911
Fax Number
423-283-0990
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
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Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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