Organization
METHODIST HEALTHCARE-MEMPHIS HOSPITALS
Active
Other names
Methodist Germantown Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY FORGARTY (VP OF FINANCE/REIMBURSEMENT)
(901) 478-1057
Entity
Organization
Contact information
Practice address
7705 POPLAR AVE STE 170, GERMANTOWN, TN 38138-3969
(901) 516-6506
(901) 516-4104
Mailing address
7705 POPLAR AVE STE 170, GERMANTOWN, TN 38138-3969
(901) 516-6506
(901) 516-4104
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
6284
TN
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177523
PK
—
Enumeration date
10/26/2017
Last updated
02/18/2025
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