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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