# HOMELIFE OXYGEN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HomeLife Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588716427
- **Authorized official:** MR. GREGORY NEIL FOUST RRT (CHIEF MANAGER)
- **Authorized official phone:** (901) 373-3503

## Contact information

- **Practice address:** 1675 N SHELBY OAKS DR, SUITE 2, MEMPHIS, TN 38134-7430
- **Practice address phone:** (901) 373-3503
- **Practice address fax:** (901) 372-3610
- **Mailing address:** 1675 N SHELBY OAKS DR, SUITE 1, MEMPHIS, TN 38134-7430
- **Mailing address phone:** (901) 373-3503
- **Mailing address fax:** (901) 372-3610

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 3978 | TN | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0440365 | — | MS |
| 05 | — | 1452198 | — | TN |
| 01 | — | 3016454 | BLUE CROSS BLUE SHIELD | TN |