Provider Demographics
NPI:1578391421
Name:MP OPERATING LLC DBA MORRISTOWN PHARMACY
Entity type:Organization
Organization Name:MP OPERATING LLC DBA MORRISTOWN PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-586-6263
Mailing Address - Street 1:228 N FAIRMONT AVE
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-3768
Mailing Address - Country:US
Mailing Address - Phone:423-586-6263
Mailing Address - Fax:
Practice Address - Street 1:925 W 4TH NORTH ST
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-3814
Practice Address - Country:US
Practice Address - Phone:423-587-4949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy