Organization
CAREMAX COMMUNITY PHARMACY LLC
Active
Other names
The Phoenix Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CALEB MARCUM SELBY PHARMD (CO-OWNER/PHARMACIST)
(865) 692-1603
Entity
Organization
Contact information
Practice address
418 S GAY ST STE 104, KNOXVILLE, TN 37902-1134
(865) 692-1603
(865) 692-1604
Mailing address
418 S GAY ST STE 104, KNOXVILLE, TN 37902-1134
(865) 692-1603
(865) 692-1604
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5551
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151408
PK
—
Enumeration date
04/20/2015
Last updated
11/11/2020
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