Organization
ANOVORX GROUP LLC
Active
Organization
ANOVORX GROUP LLC
Active
Other names
AnovoRx Group, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JON PETERS (PRESIDENT, MANAGING MEMBER AND DIRE)
(901) 201-5484
Entity
Organization
Contact information
Practice address
1710 SHELBY OAKS DR N STE 5, MEMPHIS, TN 38134-7403
(901) 201-5470
(901) 201-5465
Mailing address
1710 SHELBY OAKS DR N, SUITE 5, MEMPHIS, TN 38134-7403
(901) 201-5470
(901) 201-5465
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
2017009958
MO
3336C0003X
Community/Retail Pharmacy
15077/7.1
MS
3336C0003X
Community/Retail Pharmacy
5905
TN
3336C0003X
Community/Retail Pharmacy
Primary
OS02761
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166497
PK
—
Enumeration date
11/28/2016
Last updated
04/24/2017
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