Organization
CASTLE RETAIL GROUP LLC
Active
Other names
FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LEAONARD ENGELBERG RPH (PHCY MNGR)
(901) 366-5313
Entity
Organization
Contact information
Practice address
3071 S PERKINS RD, MEMPHIS, TN 38118-3239
(901) 366-5313
(901) 366-0224
Mailing address
5159 WHEELIS DR, SUITE 110, MEMPHIS, TN 38117-4519
(901) 362-3492
(901) 362-3396
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
910
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4434421
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
5520800001
—
TN
Enumeration date
08/10/2006
Last updated
03/12/2010
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