Organization
AMMED DIRECT, LLC
Active
Other names
AmMed HomeCare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS BERRY (CEO)
(615) 941-3500
Entity
Organization
Contact information
Practice address
5720 CROSSINGS BLVD, SUITE B, ANTIOCH, TN 37013-3144
(615) 941-3800
(615) 941-3598
Mailing address
5720 CROSSINGS BLVD, SUITE B, ANTIOCH, TN 37013-3144
(615) 941-3800
(615) 941-3598
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
4128
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4438001
—
TN
Enumeration date
10/07/2008
Last updated
01/27/2011
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