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Organization

HOMELIFE OXYGEN, LLC

Active
Other names
HomeLife Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREGORY NEIL FOUST RRT (CHIEF MANAGER)
(901) 373-3503
Entity
Organization

Contact information

Practice address
1675 N SHELBY OAKS DR, SUITE 2, MEMPHIS, TN 38134-7430
(901) 373-3503
(901) 372-3610
Mailing address
1675 N SHELBY OAKS DR, SUITE 1, MEMPHIS, TN 38134-7430
(901) 373-3503
(901) 372-3610

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
3978
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0440365
MS
05
1452198
TN
01
3016454
BLUE CROSS BLUE SHIELD
TN
Enumeration date
01/18/2007
Last updated
08/22/2020
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