WEST TN PHARMACEUTICAL CARE LLC NPI 1114156403

NPI Information

WEST TN PHARMACEUTICAL CARE, LLC is a long term care pharmacy pharmacy in Jackson, TN. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. WEST TN PHARMACEUTICAL CARE, LLC NPI is 1114156403. The provider is registered as an organization entity type.

The provider's business location address is:

24 NOLAN CV
JACKSON, TN
ZIP 38305
Phone: (731) 554-9872
Fax: (731) 554-9874

The provider's authorized official is Donna Shofe .
The authorized official title is Member, Manager and has the following contact phone number (731) 554-9872.

The enumeration date for this NPI number is 7/7/2009 and was last updated on 1/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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