Provider Demographics
NPI:1861102683
Name:MACS PHARMACY TOWNSEND LLC
Entity type:Organization
Organization Name:MACS PHARMACY TOWNSEND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:WILHOIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-273-0993
Mailing Address - Street 1:1536 E BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37804-3202
Mailing Address - Country:US
Mailing Address - Phone:865-273-0993
Mailing Address - Fax:865-238-2755
Practice Address - Street 1:7959 E LAMAR ALEXANDER PKWY
Practice Address - Street 2:
Practice Address - City:TOWNSEND
Practice Address - State:TN
Practice Address - Zip Code:37882-4033
Practice Address - Country:US
Practice Address - Phone:865-421-6227
Practice Address - Fax:865-421-6228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-02
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy