Organization
OMNI HEALTH CORP
Active
Other names
MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
J NICHOLS (OWNER)
(731) 642-2451
Entity
Organization
Contact information
Practice address
234 TYSON AVE, PARIS, TN 38242-5853
(731) 642-2451
(731) 642-7246
Mailing address
234 TYSON AVE, PARIS, TN 38242-5853
(731) 642-2451
(731) 642-7427
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1062
TN
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
1062
TN
333600000X
Pharmacy
Primary
1062
TN
3336C0003X
Community/Retail Pharmacy
1062
TN
3336H0001X
Home Infusion Therapy Pharmacy
1062
TN
3336L0003X
Long Term Care Pharmacy
1062
TN
3336M0002X
Mail Order Pharmacy
1062
TN
3336S0011X
Specialty Pharmacy
1062
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102712
BCBS
TN
05
—
3546501
—
TN
Enumeration date
08/16/2006
Last updated
08/07/2023
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