Organization
CHRIST COMMUNITY HEALTH SERVICES INC
Active
Other names
christ community health services, Christ Community Health Services, Inc.-Orange Mound Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY MCDANIEL (CEO)
(901) 842-3160
Entity
Organization
Contact information
Practice address
2569 DOUGLASS AVE, MEMPHIS, TN 38114-2532
(901) 271-6275
(901) 271-6276
Mailing address
2670 UNION AVENUE EXT STE 1000, MEMPHIS, TN 38112-4416
(901) 842-3160
(901) 260-8598
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000005232
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142134
PK
—
05
—
3707256
—
TN
Enumeration date
09/20/2013
Last updated
12/06/2024
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