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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