Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Medical Mall Pharmacy Inc

Organization Pharmacy · NPI 1275536997

Medical Mall Pharmacy Inc is a Pharmacy in Kingsport, Tennessee. Licensed in Tennessee. Registered with an NPI since 2005.

Licensed in
TN
In the registry since
2005
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone: (423) 224-6860
Fax: (423) 224-5654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence C3413 (TN)
Pharmacy Taxonomy 333600000X

Record details

NPI number1275536997
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristine Hagee — Pharmacy Systems Analyst · (423) 230-8432
Other names Wellmont Outpatient Pharmacy
NPI enumeratedMay 27, 2005
Last updated in NPPESDecember 3, 2009
Mailing address130 W Ravine Rd, Kingsport, TN 37660-3837

Other providers in Kingsport