| Lakeway Pharmacy Consultants Pllc | |
|
136 E Broadway Newport TN 37821-2323 | |
| (423) 720-9777 | |
| Not Available |
| Full Name | Lakeway Pharmacy Consultants Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 136 E Broadway, Newport, Tennessee |
| Authorized Official Name and Position | Jarrod Vick (AO) |
| Authorized Official Contact | 4237209777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeway Pharmacy Consultants Pllc 136 E Broadway Newport TN 37821-2323 Ph: (423) 720-9777 | Lakeway Pharmacy Consultants Pllc 136 E Broadway Newport TN 37821-2323 Ph: (423) 720-9777 |
| NPI Number | 1851082994 |
|---|---|
| Provider Enumeration Date | 05/18/2023 |
| Last Update Date | 10/24/2023 |
| Medicare PECOS PAC ID | 0345600698 |
|---|---|
| Medicare Enrollment ID | O20230718001924 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851082994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jennifer A Winbigler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598105413 PECOS PAC ID: 2163666819 Enrollment ID: I20160812001620 |
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