Susong Pharmacy Inc, NPI 1073698361
Community/Retail Pharmacy in Greeneville, TN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1073698361
NPI Entity Type Organization
Provider Name Susong Pharmacy Inc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 2255 E Andrew Johnson Hwy, Greeneville, TN, US
Provider Mailing Address 2255 E Andrew Johnson Hwy, Suite 2, Greeneville, TN, US, 377454375
Is Sole Proprietor? No
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Organization Official

Official Name PHRM D Charles Susong
Official Position PRESIDENT
Phone 423-639-8631

Primary Taxonomy

Taxonomy Code

3336C0003X

Taxonomy Name Community/Retail Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 177
License State TN
Description A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Other Organization Name

SUSONG PHARMACY
Doing Business As

Business Address

Susong Pharmacy Inc
2255 E Andrew Johnson Hwy

Greeneville, TN, US

Phone: 423-639-8631
Fax: 423-639-0302

Mailing Address

Susong Pharmacy Inc
2255 E Andrew Johnson Hwy
Suite 2
Greeneville, TN, US
ZIP 377454375
Phone: 423-639-8631
Fax: 423-639-0302

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

333600000X

Suppliers

Pharmacy

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
4415495 NCPDP PROVIDER IDENTIFICATION NUMBER 01
9448308 TN MEDICAID 05

Other Providers in TN, US

NPI Name Taxonomy Address

1417615469

MRS. RN Emily Rae Johnson

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PHARMD Rebecca Brittany Clegg

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MD Shalacia Palmer Leblanc

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Organization

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CCC-SLP Azjah Watson

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NEMT Olivia Williams

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Megan Nichole Trujillo

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M.D. David D. Buckman

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Ashley Myers

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1477278844

Jessica Gomez

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Park Center

Organization

Adult Mental Health Clinic/Center

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1174056428

DR. M.D. Melissa Lynn Mckittrick

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1083339444

FNP-BC Misty Renee Nichols

Individual

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MD Douglas Todd Cannon

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Suite 500

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Dovamed Medical

Organization

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545 Mainstream Dr Ste 102

Nashville, TN

1487379830

Taylor Woods

Individual

Registered Nurse

6019 Walnut Grove Rd

Memphis, TN

1285909903

MRS. PA-C Brittany C Smith

Individual

Physician Assistant

1265 Union Ave

Memphis, TN

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