Organization
TRI-MED PHARMACY SERVICES, LLC #2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD WAYNE SMITH DPH. (CEO)
(615) 826-9393
Entity
Organization
Contact information
Practice address
260 W MAIN ST, SUITE 217, HENDERSONVILLE, TN 37075-3347
(615) 826-9393
(615) 826-0531
Mailing address
4005 S MENDENHALL RD, SUITE 1, MEMPHIS, TN 38115-5919
(901) 366-1988
(901) 366-1679
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
0000004372
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4440272
NCPDP
—
Enumeration date
08/20/2007
Last updated
08/20/2007
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