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Organization

GOOD SHEPHERD HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PHILIP J. BAKER PHARMD (CEO)
(901) 921-3039
Entity
Organization

Contact information

Practice address
6052 HICKORY RIDGE MALL, SUITE 148, MEMPHIS, TN 38115
(901) 921-3039
Mailing address
2166 CUBA MILLINGTON RD, MILLINGTON, TN 38053-5120
(901) 921-3039

Taxonomy

Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
5558
TN

Other

Enumeration date
05/19/2015
Last updated
05/19/2015
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