Organization
ENIGMA ENTERPRISES INC
Active
Other names
Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI POOLE PHARM.D. (PRESIDENT/CEO)
(615) 645-9680
Entity
Organization
Contact information
Practice address
226 11TH AVE S, NASHVILLE, TN 37203-4021
(615) 645-9680
(615) 645-9782
Mailing address
226 11TH AVE S, NASHVILLE, TN 37203-4021
(615) 645-9680
(615) 645-9782
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
0214001984
VA
3336C0003X
Community/Retail Pharmacy
Primary
0000005742
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158124
PK
—
Enumeration date
05/07/2015
Last updated
07/19/2018
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