Organization
ASPIRE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA CAMPOS-RODRIGUEZ (OWNER)
(615) 622-0968
Entity
Organization
Contact information
Practice address
907 RIVERGATE PKWY # E9, GOODLETTSVILLE, TN 37072-2324
(615) 622-0968
(615) 656-5610
Mailing address
907 RIVERGATE PKWY # E9, GOODLETTSVILLE, TN 37072-2324
(615) 622-0968
(615) 656-5610
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q063763
—
TN
Enumeration date
09/14/2020
Last updated
03/02/2021
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