Advanced Specialty Pharmacy Of Knoxville, LLC
Pharmacy in Knoxville, TN. Organization (NPI-2).
NPI number1104057579
StatusActive
Last updated in NPPESOct 8, 2020
Details
- NPI
- 1104057579
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Specialty Pharmacy Of Knoxville, LLC
- Organization subpart
- No
- Enumeration date
- Aug 4, 2009
- Certification date
- Oct 8, 2020
- Last updated
- Oct 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 4499 | TN | Yes |
Other names
- Heartland Apothecary (Doing Business As)
Practice location
9947 Kingston PikeKnoxville, TN 37922-6923
Phone 865-909-9713 · Fax 865-909-9397
Mailing address
9947 Kingston PikeKnoxville, TN 37922-6923
Phone 865-909-9713 · Fax 865-909-9397
Authorized official
Charles R Wall
Owner
8659099713
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