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
About Stedi
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