Provider Demographics
NPI:1902952641
Name:ALEXANDER RHOTON DBA BELVOIR PHARMACY
Entity Type:Organization
Organization Name:ALEXANDER RHOTON DBA BELVOIR PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:RHOTON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:423-622-3184
Mailing Address - Street 1:4501 BRAINERD RD
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37411-5429
Mailing Address - Country:US
Mailing Address - Phone:423-622-3184
Mailing Address - Fax:423-629-9767
Practice Address - Street 1:4501 BRAINERD RD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411-5429
Practice Address - Country:US
Practice Address - Phone:423-622-3184
Practice Address - Fax:423-629-9767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2393336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1098470001Medicare ID - Type Unspecified