Organization
ENGIMA ENTERPRISES, INC
Active
Other names
Apothecary Convenient Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACI M POOLE PHARM.D. (CEO)
(615) 645-9680
Entity
Organization
Contact information
Practice address
226 11TH AVE S, NASHVILLE, TN 37203-4021
(615) 645-9680
(615) 645-9782
Mailing address
226 11TH AVE S, NASHVILLE, TN 37203-4021
(615) 645-9680
(615) 645-9782
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
35491
TN
1835P2201X
Ambulatory Care Pharmacist
35491
TN
363LF0000X
Family Nurse Practitioner
Primary
17482
TN
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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