Organization
METHODIST HEALTHCARE-MEMPHIS HOSPITALS
Active
Organization
METHODIST HEALTHCARE-MEMPHIS HOSPITALS
Active
Other names
Le Bonheur Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY FOGARTY (VP OF FINANCE/REIMBURSEMENT)
(901) 478-1057
Entity
Organization
Contact information
Practice address
51 NORTH DUNLAP STREET, GROUND FLOOR, MEMPHIS, TN 38105
(901) 287-6050
(901) 287-6027
Mailing address
51 NORTH DUNLAP STREET, GROUND FLOOR, MEMPHIS, TN 38105
(901) 287-6050
(901) 287-6027
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0330513
—
MS
01
—
4431196
NABP
TN
Enumeration date
01/03/2007
Last updated
05/01/2025
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