Provider Demographics
NPI:1871222158
Name:UHS SEVIERVILLE PHARMACY, LLC
Entity Type:Organization
Organization Name:UHS SEVIERVILLE PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR VICE PRESIDENT & CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CUNNINGHAM
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:865-305-6500
Mailing Address - Street 1:2121 MEDICAL CENTER WAY
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-3290
Mailing Address - Country:US
Mailing Address - Phone:865-305-6600
Mailing Address - Fax:
Practice Address - Street 1:1130 MIDDLE CREEK RD STE 180
Practice Address - Street 2:
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37862-3051
Practice Address - Country:US
Practice Address - Phone:865-446-3410
Practice Address - Fax:865-446-3413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-10
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy