Organization
PINK RIBBONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN H TANNER (OWNER)
(901) 417-6060
Entity
Organization
Contact information
Practice address
6295 SUMMER AVE STE 105, MEMPHIS, TN 38134-5983
(901) 417-6060
(901) 820-9144
Mailing address
6295 SUMMER AVE STE 105, MEMPHIS, TN 38134-5983
(901) 417-6060
(901) 347-2211
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1527934
—
TN
05
—
7100654000
—
KY
Enumeration date
09/20/2011
Last updated
11/02/2023
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