Local City Search for Medical Equipment Suppliers JELLICO DRUG STORE INC
Medical Equipment Supplier Yellow Pages
Jellico, Tennessee
Provider NPI: 1093753196
Organization Information:Organization Name: JELLICO DRUG STORE INC
Practice Location:
229 S MAIN ST JELLICO, TN 37762 US
Tel: 423-784-6226 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
229 S MAIN ST JELLICO, TN 37762 US
Tel: 423-784-6226 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 332BP3500X | Suppliers Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | ||
| N | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | ||
| Y | 3336C0003X | Suppliers Pharmacy | TN | 472 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 4407210 | TN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
