OrganizationActive
Boones Creek Pharmacy, Inc.
NPI 1770199432 · Long Term Care Pharmacy · Johnson City, TN
Provider details
- NPI number
- 1770199432
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Caden Cox, Pic(423) 283-0911
Specialties & taxonomies
Suppliers
Practice location
4729 N Roan St Ste 2
Johnson City, TN 37615-3886
Phone: (423) 283-0911
Fax: (423) 283-0990
Approximate (ZIP-level) locationGet directions
Mailing address
4729 N Roan St Ste 2
Johnson City, TN 37615-3733
Registry dates
- Enumerated
- 2020-09-18
- Last updated
- 2026-04-28
- Certified
- 2026-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.