Organization
CHRIST COMMUNITY HEALTH SERVICES, INC.
Active
Organization
CHRIST COMMUNITY HEALTH SERVICES, INC.
Active
Other names
Jackson Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY MCDANIEL (CEO)
(901) 842-3160
Entity
Organization
Contact information
Practice address
655 LEXINGTON AVE, JACKSON, TN 38301-5075
(731) 213-6900
Mailing address
2670 UNION AVENUE EXT STE 1000, MEMPHIS, TN 38112-4416
(901) 842-3160
(901) 842-2360
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q070697
—
TN
Enumeration date
11/23/2021
Last updated
06/18/2025
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