Provider Demographics
NPI:1124102256
Name:MONYEI HOLDINGS INC
Entity type:Organization
Organization Name:MONYEI HOLDINGS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MONYEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-451-0451
Mailing Address - Street 1:PO BOX 11416
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37401-2416
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14402 DAYTON PIKE
Practice Address - Street 2:STE C
Practice Address - City:SALE CREEK
Practice Address - State:TN
Practice Address - Zip Code:37373-7732
Practice Address - Country:US
Practice Address - Phone:423-451-0451
Practice Address - Fax:423-451-0257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0003X
TN40583336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4437681OtherOTHER ID NUMBER
TN4437681Medicaid
4437681OtherOTHER ID NUMBER-COMMERCIAL NUMBER