Organization
ALLIANCE HEALTHCARE PHARMACY
Active
Other names
Alliance Healthcare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GENE LAWRENCE (CEO)
(901) 369-1420
Entity
Organization
Contact information
Practice address
3810 WINCHESTER RD, MEMPHIS, TN 38118-6045
(901) 369-1421
Mailing address
3810 WINCHESTER RD, MEMPHIS, TN 38118-6045
(901) 369-1421
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
0000005868
TN
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164544
PK
—
05
—
3399596
—
TN
Enumeration date
10/24/2016
Last updated
10/24/2016
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