MOUNTAIN STATES HEALTH ALLIANCE

KINGSPORT, TN
NPI1548842602
Doing Business AsBH SPECIALTY PHARMACY-KPT
Entity TypeOrganization
Authorized ContactMARY LYNN KRUTAK
EVP/CFO
423-302-3423
Organization Subpart ?No
Primary Taxonomy333600000X Pharmacy
Additional Taxonomies3336S0011X Pharmacy, Specialty Pharmacy
Enumeration Date2021-04-27
Last Update Date2022-01-24
Business Address
MOUNTAIN STATES HEALTH ALLIANCE
2202 N JOHN B DENNIS HWY
KINGSPORT, TN 37660-5904
Phone number: 423-434-7443
Mailing Address
MOUNTAIN STATES HEALTH ALLIANCE
2 PROFESSIONAL PARK DR STE 15
JOHNSON CITY, TN 37604-6584
Phone number: 423-434-7443