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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