# DAR SALUD CARE PLLC

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

## Provider details

- **NPI number:** 1598018806
- **Authorized official:** ANDREA FULLER MAML (BILLING AND CREDENTIALING MANAGER)
- **Authorized official phone:** (901) 922-5951

## Contact information

- **Practice address:** 1068 CRESTHAVEN RD STE 300, MEMPHIS, TN 38119-0809
- **Practice address phone:** (901) 683-0024
- **Practice address fax:** (901) 683-0086
- **Mailing address:** 6074 APPLE TREE DR STE 10, MEMPHIS, TN 38115-0300
- **Mailing address phone:** (901) 922-5951
- **Mailing address fax:** (901) 922-5952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | — |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/24/2012
- **Last updated:** 04/06/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1519872 | — | TN |
| 01 | — | 2158680 | PK | — |