Medical Mall Pharmacy Inc is not a DME supplier for medicare equipments and products.
Medical Mall Pharmacy Inc is a Community/Retail Pharmacy in Kingsport, Tennessee. It is located at 130 W Ravine Rd, Kingsport and it's customer support contact number is 423-224-6860. The authorized person of Medical Mall Pharmacy Inc is Kristine Hagee who is Pharmacy Systems Analyst of the pharmacy and his contact number is 423-230-8432. Active license number of Medical Mall Pharmacy Inc is C3413 for Community/Retail Pharmacy in Tennessee. Medical Mall Pharmacy Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Medical Mall Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Medical Mall Pharmacy Inc
Type:
Community/Retail Pharmacy
Location:
130 W Ravine Rd, Kingsport, Tennessee, 37660-3837
Phone:
423-224-6860
Fax:
423-224-5654
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Kristine Hagee
Position:
Pharmacy Systems Analyst
Contact Number:
423-230-8432
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1275536997
NPI Enumeration Date:
27 May, 2005
NPI Last Update On:
03 Dec, 2009
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Medical Mall Pharmacy Inc are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
C3413
Tennessee
Primary
Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
3130747
Medicaid
Tennessee
4433378
Other
Ncpdp Provider Identification Number
8517916
Medicaid
Virginia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
130 W Ravine Rd, Kingsport, Tennessee
Zip:
37660-3837
Phone Number:
423-224-6860
Fax Number:
423-224-5654
Patients can reach Medical Mall Pharmacy Inc at 130 W Ravine Rd, Kingsport, Tennessee or can call on customer care at 423-224-6860.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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