Organization
GOOD SHEPHERD PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERVAT FAYEZ (PHARMACIST)
(615) 554-7140
Entity
Organization
Contact information
Practice address
2717 B MURFREESBORO PIKE, ANTIOCH, TN 37013
(615) 600-5116
(629) 202-8956
Mailing address
497 CREEK POINT DR, MOUNT JULIET, TN 37122-5600
(615) 554-7140
(629) 202-8956
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
6058
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q031899
—
TN
Enumeration date
09/08/2017
Last updated
02/15/2023
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