Organization
NUTRITIONAL SUPPORT SERVICES
Active
Other names
NETWORK HEALTHCARE KNOXVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY LEEMAN (PRESIDENT)
(615) 890-2020
Entity
Organization
Contact information
Practice address
8975 EXECUTIVE PARK DR, KNOXVILLE, TN 37923-4701
(865) 531-0008
(865) 531-0058
Mailing address
PO BOX 32249, KNOXVILLE, TN 37930-2249
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
2371
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2091695
PK
—
05
—
4428531
—
TN
Enumeration date
12/01/2006
Last updated
08/27/2021
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