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Organization

PHARMALIFE COMMUNITY PHARMACY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARCUS JACKSON (MANAGER)
(615) 410-4790
Entity
Organization

Contact information

Practice address
529 BRANDIES CIR, MURFREESBORO, TN 37128-0710
(615) 410-4790
Mailing address
529 BRANDIES CIR, MURFREESBORO, TN 37128-0710

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
Primary
3336C0004X
Compounding Pharmacy

Other

Enumeration date
04/30/2024
Last updated
05/01/2024
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