Organization
TENNESSEE ONCOLOGY PHARMACY DISPENSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTIE Y DOUGLAS (CREDENTIALING SPECIALIST)
(615) 514-6876
Entity
Organization
Contact information
Practice address
504 22ND AVE E, SPRINGFIELD, TN 37172-3754
(615) 384-5558
(615) 382-7032
Mailing address
2004 HAYES ST STE 800, NASHVILLE, TN 37203-2659
(615) 329-0570
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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