Organization
PROMISECARE PHARMACY II LLC
Active
Other names
Promise2Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
READUS SMITH (CEO/ CHAIRMAN/ OWNER)
(877) 323-9067
Entity
Organization
Contact information
Practice address
501 MAINSTREAM DR, NASHVILLE, TN 37228-1208
(615) 299-8920
(877) 323-9047
Mailing address
501 MAINSTREAM DR, NASHVILLE, TN 37228-1208
(615) 299-8920
(877) 323-9047
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5075
TN
3336M0002X
Mail Order Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4445400
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/12/2012
Last updated
10/24/2012
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