Provider Demographics
NPI:1467665760
Name:MCFARLAND APOTHECARY, LLC
Entity Type:Organization
Organization Name:MCFARLAND APOTHECARY, LLC
Other - Org Name:PATIENT'S CHOICE MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:B
Authorized Official - Last Name:DEBORD
Authorized Official - Suffix:SR
Authorized Official - Credentials:CPED, CFO CPHT
Authorized Official - Phone:423-581-1118
Mailing Address - Street 1:167 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-4628
Mailing Address - Country:US
Mailing Address - Phone:423-581-1118
Mailing Address - Fax:
Practice Address - Street 1:167 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-4628
Practice Address - Country:US
Practice Address - Phone:423-581-1118
Practice Address - Fax:423-581-1104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 332BN1400X, 332BX2000X
TN39383336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1519239Medicaid
TN3938OtherSTATE PHARMACY LICENSE
TNBM9087544OtherDEA NUMBER
6362060001Medicare NSC