Organization
DARSALUD COMMUNITY CENTER INC
Active
Organization
DARSALUD COMMUNITY CENTER INC
Active
Parent organization
DARSALUD COMMUNITY CENTER INC
Other names
LIFEDOC PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
DARSALUD COMMUNITY CENTER INC
Authorized official
ANDREA IVORY FULLER CPC (BILLING AND CREDENTIALING MANAGER)
(901) 922-5951
Entity
Organization
Contact information
Practice address
6625 LENOX PARK DR STE 100, MEMPHIS, TN 38115-8201
(901) 683-0024
(901) 683-0086
Mailing address
6625 LENOX PARK DR STE 202, MEMPHIS, TN 38115-8200
(901) 683-0024
(901) 683-0086
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/13/2026
Last updated
07/14/2026
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