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Organization

NEOVANCE SPECIALTY PHARMACY LLC

Active
Parent organization
NEOVANCE SPECIALTY PHARMACY LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
NEOVANCE SPECIALTY PHARMACY LLC
Authorized official
DONDRELL LESTER PHARM.D. (PHARMACIST IN CHARGE)
(866) 842-2147
Entity
Organization

Contact information

Practice address
5025 TUGGLE RD # 100, MEMPHIS, TN 38118-7514
(866) 842-2147
(866) 842-2147
Mailing address
5025 TUGGLE RD # 100, MEMPHIS, TN 38118-7514
(866) 842-2147

Taxonomy

Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary

Other

Enumeration date
04/20/2026
Last updated
05/14/2026
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