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Jj Beans At Mooneys LLC

Pharmacy, Community/Retail Pharmacy in Johnson City, TN. Organization (NPI-2).

NPI number1477043768
StatusActive
Last updated in NPPESOct 28, 2020

Details

NPI
1477043768
Entity type
Organization (NPI-2)
Legal business name
Jj Beans At Mooneys LLC
Organization subpart
No
Enumeration date
May 14, 2018
Certification date
Oct 28, 2020
Last updated
Oct 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy1663TNYes
3336C0004X Pharmacy, Compounding Pharmacy1663TN

Other names

  • Mooney'S Pharmacy (Doing Business As)

Practice location

1107 N Roan St
Johnson City, TN 37601-3901

Phone 423-926-7333

Mailing address

1107 N Roan St
Johnson City, TN 37601-3901

Phone 423-926-7333 · Fax 423-926-6222

Authorized official

Chad B Huntsman
Owner
4233123856

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