Provider Demographics
NPI:1558948091
Name:CHATTANOOGA CARES, INC.
Entity Type:Organization
Organization Name:CHATTANOOGA CARES, INC.
Other - Org Name:CEMPA COMMUNITY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:DURHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-240-4657
Mailing Address - Street 1:1000 E 3RD ST STE 302
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-2155
Mailing Address - Country:US
Mailing Address - Phone:423-541-9450
Mailing Address - Fax:423-541-9449
Practice Address - Street 1:1000 E 3RD ST STE 302
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-2155
Practice Address - Country:US
Practice Address - Phone:423-265-2273
Practice Address - Fax:423-648-9935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-29
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy