Organization
MEMPHIS HEALTH CENTER, INC
Active
Other names
MEMPHIS HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISIAH MCRAY PHARMD (PHARMACY DIRECTOR)
(901) 261-2081
Entity
Organization
Contact information
Practice address
360 E H CRUMP BLVD, MEMPHIS, TN 38126
(901) 261-2046
(901) 946-9262
Mailing address
360 E H CRUMP BLVD, MEMPHIS, TN 38126
(901) 261-2046
(901) 946-9262
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
306
TN
3336M0003X
Managed Care Organization Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4416269
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
4447810
—
TN
Enumeration date
09/06/2006
Last updated
10/21/2016
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