Organization
COMMUNITY PHARMACY OF SMYRNA LLC
Active
Parent organization
CUSTOM HEALTH INC
Other names
CUSTOMHEALTH PHARMACY NASHVILLE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CUSTOM HEALTH INC
Authorized official
JOSHUA DOTY WILSON (BUSINESS DEVELOPMENT MANAGER)
(903) 520-1567
Entity
Organization
Contact information
Practice address
300 STONECREST BLVD STE 130, SMYRNA, TN 37167-5689
(615) 459-5335
(615) 459-5349
Mailing address
300 STONECREST BLVD STE 130, SMYRNA, TN 37167-5689
(615) 459-5335
(615) 459-5349
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
04/17/2024
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