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Amerita South Atlantic Llc
Medical Foods Supplier in Kingsport, Tennessee
NPI 1801436365

Amerita South Atlantic Llc is a Medical Foods Supplier based in Centennial, TN. Amerita South Atlantic Llc practices in Kingsport, TN. The NPI Number for Amerita South Atlantic Llc is 1801436365 and holds a License No. (Tennessee).

The current practice location address for Amerita South Atlantic Llc is 105 Jack White Dr Ste B, Kingsport, TN and can be reached out via phone at 423-378-7350 and via fax at 833-986-1057. You can also correspond with Amerita South Atlantic Llc through the mailing address at 6912 S QUENTIN ST STE 50, CENTENNIAL, CO - 80112-4531 (mailing address contact number: 720-282-5325).

Location: 105 Jack White Dr Ste B, Kingsport, TN, 80112-4531
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801436365
Provider Name
Amerita South Atlantic Llc
Credential
Provider Entity Type
Organization
Address
105 Jack White Dr Ste B, Kingsport, TN, 80112-4531
Phone Number
423-378-7350
Fax Number
833-986-1057
Provider Enumeration Date
01/13/2020
Last Update Date
03/13/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
NCPDP 01 TN 4452354
institution
Provider Business Practice Location Address Details
Address
105 Jack White Dr Ste B
City
Kingsport
State
Tennessee
Zip
37664-2364
Phone Number
423-378-7350
Fax Number
833-986-1057
person
Provider Business Mailing Address Details
Address
105 Jack White Dr Ste B
City
Kingsport
State
Tennessee
Zip
37664-2364
Phone Number
423-378-7350
Fax Number
833-986-1057
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
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
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Home Infusion Therapy Pharmacy
Taxonomy
3336H0001X
License No.
()
Definition
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Medical Foods Supplier
Speciality
-
Taxonomy
335G00000X
License No.
()
Definition
A supplier of special replacement foods for clients with errors of metabolism that prohibit them from eating a regular diet. Medical foods are lacking in the compounds which cause complications of the metabolic disorder, and are not generally available in grocery stores, health food stores, or pharmacies.
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