Organization
VANDERBILT UNIVERSITY
Active
Other names
VANDERBILT UNIVERSITY HOSPITAL OP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WALT WOODS (ASST DIRECTOR)
(615) 322-6480
Entity
Organization
Contact information
Practice address
1161 21ST AVE S, ROOM 1815 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 322-6480
(615) 322-4300
Mailing address
THE VANDERBILT CLINIC, ROOM 1815, NASHVILLE, TN 37232-0001
(615) 322-6480
(615) 322-4300
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
1008
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2089359
PK
—
05
—
3553303
—
TN
Enumeration date
06/27/2006
Last updated
09/07/2016
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