Organization
HEMOPHILIA PREFERRED CARE OF MEMPHIS INC
Active
Other names
Hemophilia Preferred Care of Memphis
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN RICHMAN (DIRECTOR OF CONTRACTS AND CREDENTIA)
(800) 757-9192
Entity
Organization
Contact information
Practice address
6423 SHELBY VIEW DR STE 104, MEMPHIS, TN 38134
(800) 757-9192
(855) 813-0583
Mailing address
6423 SHELBY VIEW DR STE 104, MEMPHIS, TN 38134-7614
(800) 757-9192
(855) 813-0583
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
4559
TN
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09928011
—
MS
05
—
1041917270001
—
PA
05
—
1533122
—
TN
05
—
1750533816
—
MO
05
—
1750533816
—
TN
05
—
1750533816
—
VA
05
—
180365407
—
AR
05
—
181916741
—
AR
05
—
200530030A
—
OK
01
—
2117653
PK
—
05
—
423097300
—
MD
05
—
606504009
—
MO
05
—
7100116400
—
KY
05
—
721231
—
SC
Enumeration date
10/21/2008
Last updated
01/02/2026
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