Organization
FIRST PHARMACY SERVICES OF LINDEN AVE
Active
Other names
First Pharmacy Services of Bellevue
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE PRATT (VICE PRESIDENT)
(901) 355-2383
Entity
Organization
Contact information
Practice address
14 N BELLEVUE BLVD, MEMPHIS, TN 38104-2220
(901) 946-1375
(901) 725-0030
Mailing address
PO BOX 47, POPE, MS 38658-0047
(901) 946-1375
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
4573
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117380
PK
—
Enumeration date
10/10/2008
Last updated
04/19/2017
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