Provider Demographics
NPI:1275344210
Name:APOTHACARY INC
Entity type:Organization
Organization Name:APOTHACARY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ATYIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-928-8004
Mailing Address - Street 1:2811 W MARKET ST STE 5
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-5127
Mailing Address - Country:US
Mailing Address - Phone:423-928-8004
Mailing Address - Fax:423-928-8008
Practice Address - Street 1:2811 W MARKET ST STE 5
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-5127
Practice Address - Country:US
Practice Address - Phone:423-928-8004
Practice Address - Fax:423-928-8008
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:APOTHACARY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy