Organization
FIRST PHARMACY SERVICES OF TENNESSEE LLC
Active
Other names
FIRST PHARMACY SERVICES OF TENNESSEE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE PRATT D PH (VP)
(901) 946-1375
Entity
Organization
Contact information
Practice address
1087 ALICE AVE, MEMPHIS, TN 38106-6543
(901) 946-1375
(901) 946-1377
Mailing address
PO BOX 47, POPE, MS 38658-0047
(901) 355-2383
(662) 893-6323
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
00004454
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4440804
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/19/2007
Last updated
12/03/2012
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