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Organization

ERLANGER HEALTH

Active
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Organization

ERLANGER HEALTH

Active
Other names
ERLANGER HEALTH SPECIALTY PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
MIKE DALE SHAVER (DIRECTOR OF REIMBURSEMENT)
(423) 778-4712
Entity
Organization

Contact information

Practice address
4312 HOLIDAY INN EXPRESS WAY NW STE 104, CLEVELAND, TN 37312-1469
(423) 778-2600
Mailing address
4312 HOLIDAY INN EXPRESS WAY NW STE 104, CLEVELAND, TN 37312-1469

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3336S0011X
Specialty Pharmacy

Other

Enumeration date
12/13/2023
Last updated
08/06/2024
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