Provider Demographics
NPI:1821681024
Name:BAGGETT PHARMACY, INC
Entity Type:Organization
Organization Name:BAGGETT PHARMACY, INC
Other - Org Name:BAGGETT CLINICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:BAGGETT
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:865-376-6452
Mailing Address - Street 1:133 E RACE ST
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:TN
Mailing Address - Zip Code:37763-2824
Mailing Address - Country:US
Mailing Address - Phone:865-376-6452
Mailing Address - Fax:
Practice Address - Street 1:133 E RACE ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:TN
Practice Address - Zip Code:37763-2824
Practice Address - Country:US
Practice Address - Phone:865-376-6452
Practice Address - Fax:865-376-7729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-18
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0002XSuppliersPharmacyClinic PharmacyGroup - Multi-Specialty