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COMPOUNDING PHARMACY OF KINGSTON INC

Medical Equipment Supplier Yellow Pages

Kingston, Tennessee

Provider NPI: 1700908001

Organization Information:
Organization Name:  COMPOUNDING PHARMACY OF KINGSTON INC


Practice Location:
145 E RACE ST  KINGSTON, TN 37763 US
Tel: 865-376-6452  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
TN3632

Other Provider Identifiers:

IssuerNumberStateType
NCPDP PROVIDER IDENTIFICATION NUMBER443576401
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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