Organization
FIRST PHARMACY SERVICES OF LINDEN AVE
Active
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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