Organization
METHODIST HEALTHCARE - MEMPHIS HOSPITALS
Active
Other names
METHODIST HOSPITAL OP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY FOGARTY (VP OF FINANCE/ REIMBURSEMENT)
(901) 478-1057
Entity
Organization
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104
(901) 516-8168
(901) 516-8397
Mailing address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 516-8168
(901) 516-8397
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1777
TN
3336I0012X
Institutional Pharmacy
1777
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2088270
PK
—
05
—
4412160
—
TN
Enumeration date
07/25/2006
Last updated
05/01/2025
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