Organization
PERSONALIZED PHARMACY SERVICES
Active
Other names
Affordable Pharmacy Services
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUES JACKSON (PHARMACY MANAGER)
(615) 622-2700
Entity
Organization
Contact information
Practice address
3139 LEBANON PIKE, NASHVILLE, TN 37214-2314
(615) 622-2700
(615) 622-2702
Mailing address
3139 LEBANON PIKE, NASHVILLE, TN 37214-2314
(615) 622-2700
(615) 622-2702
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
00005415
TN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146889
PK
—
05
—
Q034596
—
TN
Enumeration date
07/13/2014
Last updated
07/02/2025
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