Organization
ANOVORX GROUP, LLC
Active
Organization
ANOVORX GROUP, LLC
Active
Other names
AnovoRx Group, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JON PETERS (PRESIDENT AND MANAGING MEMBER)
(901) 612-3281
Entity
Organization
Contact information
Practice address
1710 SHELBY OAKS DR N STE 1, MEMPHIS, TN 38134-7403
(901) 201-5470
(901) 201-5465
Mailing address
1710 N. SHELBY OAKS DR., SUITE 2, MEMPHIS, TN 38134-7403
(901) 201-5470
(901) 201-5465
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5129
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2169953
PK
—
Enumeration date
06/21/2017
Last updated
06/21/2017
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