Organization
SHELBY COUNTY HEALTH CARE CORPORATION
Active
Other names
Regional One Health Pharmacy PCS Walnut Grove
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES RICHARD WAGERS (EVP AND CFO)
(901) 545-7676
Entity
Organization
Contact information
Practice address
3109 WALNUT GROVE RD, MEMPHIS, TN 38111-3509
(901) 515-3434
(901) 515-3439
Mailing address
877 JEFFERSON AVE, ATTENTION: PHARMACY ADMINISTRATION, MEMPHIS, TN 38103-2807
(901) 545-7847
(901) 545-7552
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4451578
NCPDP
—
05
—
Q047999
—
TN
Enumeration date
01/15/2019
Last updated
03/07/2023
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