Organization
TRI STATE COMMUNITY HEALTH CENTER
Active
Parent organization
TRI STATE COMMUNITY HEALTH CENTER
Other names
Tri State Community Health Center Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRI STATE COMMUNITY HEALTH CENTER
Authorized official
DR. TAMIKA D RUSSELL PHARM. D. (PHARMACY MANAGER)
(901) 572-1573
Entity
Organization
Contact information
Practice address
4041 KNIGHT ARNOLD RD STE 200, MEMPHIS, TN 38118-2128
(901) 572-1573
(901) 261-7120
Mailing address
4041 KNIGHT ARNOLD RD STE 200, MEMPHIS, TN 38118-2128
(901) 572-1573
(901) 261-7120
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q105539
—
TN
Enumeration date
06/16/2025
Last updated
08/29/2025
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