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Organization

PARADIGM HEALTHCARE SOLUTIONS LLC

Active
Other names
Athena Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN KUENKER (MEMBER)
(615) 288-4037
Entity
Organization

Contact information

Practice address
2025 N MOUNT JULIET RD STE 100, MOUNT JULIET, TN 37122-3934
(615) 288-4037
(615) 288-4061
Mailing address
2025 N MOUNT JULIET RD STE 100, MOUNT JULIET, TN 37122-3934
(615) 288-4037
(615) 288-4061

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
3723
TN
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2146830
PK
Enumeration date
02/18/2008
Last updated
09/26/2016
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