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Provider Information for 1063737732


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CONTINUUMRX OF EAST TENNESSEE, LLC

Organization Subpart: NO

NPI: 1063737732
Last Updated: 2013-10-11
Certification Date:

Details

NameValue
NPI1063737732
Enumeration Date2010-04-06
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: Mr. TOD C. HANSON
Title: VP of Operations
Phone: 2059689500
Mailing Address PO BOX 830525
DEPT R 2
BIRMINGHAM, AL 35283-0525
United States

Phone: 205-968-9500 | Fax:205-991-1501
 
Primary Practice Address 2210 SUTHERLAND AVE
SUITE 112
KNOXVILLE, TN 37919-2337
United States

Phone: 800-665-2850 | Fax:865-934-0249
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 261QI0500X - Clinic/Center - Infusion Therapy
No 332BP3500X - Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition
No 3336C0004X - Pharmacy - Compounding Pharmacy
No 3336L0003X - Pharmacy - Long Term Care Pharmacy
No 3336H0001X - Pharmacy - Home Infusion Therapy Pharmacy
No 3336C0003X - Pharmacy - Community/Retail Pharmacy
Yes 333600000X - Pharmacy