Organization
VA MEDICAL CENTER MEMPHIS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN COLEY DPH (SUPERVISOR)
(901) 577-7362
Entity
Organization
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 577-7236
(901) 577-7421
Mailing address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4436538
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
04/20/2007
Last updated
08/22/2020
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