Organization
VANDERBILT UNIVERSITY
Active
Organization
VANDERBILT UNIVERSITY
Active
Other names
VANDERBILT UNIVERSITY HOSPITAL OP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALT WOODS (ASST DIIRECTOR)
(615) 322-6480
Entity
Organization
Contact information
Practice address
1161 21ST AVE S RM 1815, THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 322-6480
(615) 322-4300
Mailing address
THE VANDERBILT CLINIC RM 1815, NASHVILLE, TN 37232-0001
(615) 322-6480
(615) 322-4300
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1008
TN
3336S0011X
Specialty Pharmacy
1008
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3553303
—
TN
01
—
NCPDP PROVIDER ID
4418972
TN
Enumeration date
03/01/2011
Last updated
03/01/2011
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