Organization
MEMPHIS HEALTH CENTER, INC
Active
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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