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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