Jj Beans at Mossy Creek LLC
NPI #1619669397 in Jefferson City, Tennessee
Provider Information
- NPI Number
- 1619669397
- Entity Type
- Organization
- Organization Name
- Jj Beans at Mossy Creek LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- May 22, 2023
- Last Updated
- Mar 13, 2024
Practice Location
- Address
- 1404 S SIZER AVE STE A
- City
- Jefferson City
- State
- Tennessee
- ZIP Code
- 37760-2411
- Phone
- (423) 586-0721
Authorized Official
- Name
- DR. CHAD HUNTSMAN, PHARMD
- Title
- MANAGING MEMBER
- Phone
- (423) 586-0721
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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