Provider Demographics
NPI:1073170718
Name:A PHARMACY LLC
Entity Type:Organization
Organization Name:A PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE (SOLE MEMBER A
Authorized Official - Prefix:
Authorized Official - First Name:NADER
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHBE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:423-227-7737
Mailing Address - Street 1:4897 HAMPSHIRE PLACE
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343
Mailing Address - Country:US
Mailing Address - Phone:423-227-7737
Mailing Address - Fax:
Practice Address - Street 1:4767 HWY 58, SUITE 101
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37416
Practice Address - Country:US
Practice Address - Phone:423-227-7737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A PHARMACY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-28
Last Update Date:2019-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Single Specialty