Organization
VANDERBILT UNIVERSITY MEDICAL CENTER
Active
Other names
Medical Center East Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SULLIVAN (CHIEF PHARMACY OFFICER)
(615) 343-9595
Entity
Organization
Contact information
Practice address
1215 21ST AVE S, ROOM 1006, NASHVILLE, TN 37232-0014
(615) 936-1040
(615) 936-2289
Mailing address
726 MELROSE AVE, NASHVILLE, TN 37211-2151
(615) 936-1040
(615) 936-2289
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157745
PK
—
05
—
54007604
—
KY
05
—
Q026268
—
TN
Enumeration date
01/20/2016
Last updated
08/13/2025
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