Organization
DAR SALUD CARE PLLC
Active
Other names
Dar Salud Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA FULLER MAML (BILLING AND CREDENTIALING MANAGER)
(901) 922-5951
Entity
Organization
Contact information
Practice address
1068 CRESTHAVEN RD STE 300, MEMPHIS, TN 38119-0809
(901) 683-0024
(901) 683-0086
Mailing address
6074 APPLE TREE DR STE 10, MEMPHIS, TN 38115-0300
(901) 922-5951
(901) 922-5952
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
3336C0002X
Clinic Pharmacy
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1519872
—
TN
01
—
2158680
PK
—
Enumeration date
10/24/2012
Last updated
04/06/2020
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