# THE PRESCRIPTION SHOP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275693566
- **Authorized official:** MR. JOHN M HISKY R.PH (OWNER)
- **Authorized official phone:** (901) 942-4648

## Contact information

- **Practice address:** 2207 S LAUDERDALE ST, MEMPHIS, TN 38106-7503
- **Practice address phone:** (901) 942-4648
- **Practice address fax:** (901) 942-4608
- **Mailing address:** 2207 S LAUDERDALE ST, MEMPHIS, TN 38106-7503
- **Mailing address phone:** (901) 942-4648
- **Mailing address fax:** (901) 942-4608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 825 | TN | Yes |

## Other

- **Enumeration date:** 12/09/2006
- **Last updated:** 08/22/2020
