# BIG BEND PHARMACY, LLC

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

## Provider details

- **NPI number:** 1528415791
- **Authorized official:** SUZANNE P TAGG (PIC/PHARMACY OWNER)
- **Authorized official phone:** (844) 646-2279

## Contact information

- **Practice address:** 5724 STAGE RD STE B, BARTLETT, TN 38134-4572
- **Practice address phone:** (901) 646-7701
- **Practice address fax:** (888) 881-5570
- **Mailing address:** 5724 STAGE RD STE B, BARTLETT, TN 38134-4572
- **Mailing address phone:** (901) 646-7701
- **Mailing address fax:** (888) 881-5570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/18/2016
- **Last updated:** 04/03/2019