Organization
LIFE WATCH PHARMACY LLC
Active
Other names
LifeWatch Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW MILLER (MEMBER)
(800) 940-4901
Entity
Organization
Contact information
Practice address
1838 ELM HILL PIKE STE 126, NASHVILLE, TN 37210-3702
(615) 884-0302
(888) 208-1097
Mailing address
1 BURTON HILLS BLVD, SUITE 215, NASHVILLE, TN 37215-6293
(615) 884-0302
(888) 208-1097
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
4712
TN
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136090
PK
—
Enumeration date
12/27/2010
Last updated
01/13/2015
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