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Organization

VANDERBILT UNIVERSITY MEDICAL CENTER

Active
Other names
Vanderbilt Outpatient Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MARK SULLIVAN (CHIEF PHARMACY OFFICER)
(615) 343-9595
Entity
Organization

Contact information

Practice address
1211 MEDICAL CENTER DR, TVC 1815, NASHVILLE, TN 37232-0004
(615) 322-6480
(615) 329-9358
Mailing address
726 MELROSE AVE, NASHVILLE, TN 37211-2151
(615) 322-6480
(615) 329-9358

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
PH30942
FL
3336C0003X
Community/Retail Pharmacy
1008
TN
3336C0003X
Community/Retail Pharmacy
Primary
111952
AL
3336C0003X
Community/Retail Pharmacy
1190
NE
3336C0003X
Community/Retail Pharmacy
16229
MS
3336C0003X
Community/Retail Pharmacy
2017035590
MO
3336C0003X
Community/Retail Pharmacy
TN2111
KY
3336S0011X
Specialty Pharmacy
PHNR001329
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2157740
PK
05
54008081
KY
05
Q026266
TN
Enumeration date
01/20/2016
Last updated
03/19/2024
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