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Organization
VANDERBILT UNIVERSITY MEDICAL CENTER
Active
Organization
VANDERBILT UNIVERSITY MEDICAL CENTER
Active
Other names
Medical Center East Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SULLIVAN (CHIEF PHARMACY OFFICER)
(615) 343-9595
Entity
Organization
Contact information
Practice address
1215 21ST AVE S, ROOM 1006, NASHVILLE, TN 37232-0014
(615) 936-1040
(615) 936-2289
Mailing address
726 MELROSE AVE, NASHVILLE, TN 37211-2151
(615) 936-1040
(615) 936-2289
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157745
PK
—
05
—
54007604
—
KY
05
—
Q026268
—
TN
Enumeration date
01/20/2016
Last updated
08/13/2025
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