Organization
VANDERBILT UNIVERSITY MEDICAL CENTER
Active
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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