Organization
SHELBY COUNTY HEALTH CARE CORPORATION
Active
Other names
Regional One Health
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KAY RYAN DPH (DIRECTOR OF PHARMACY)
(901) 545-7847
Entity
Organization
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 545-6299
(901) 545-7557
Mailing address
877 JEFFERSON AVE, ATTENTION OUTPATIENT PHARMACY, MEMPHIS, TN 38103-2807
(901) 545-6299
(901) 545-7557
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
744
TN
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030231
—
MS
05
—
100828407
—
AR
01
—
2088380
PK
—
01
—
4413403
NCPDP
—
05
—
Q032333
—
TN
Enumeration date
02/03/2006
Last updated
04/24/2020
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