Organization
CASTLE RETAIL GROUP LLC
Active
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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