STATE OF TENNESSEE NPI 1386863314

NPI Information

STATE OF TENNESSEE is a clinic pharmacy pharmacy in Jackson, TN. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. STATE OF TENNESSEE NPI is 1386863314. The provider is registered as an organization entity type.
The provider Other Name Is West Tennessee Regional Health Pharmacy.

The provider's business location address is:

295 SUMMAR DR
JACKSON, TN
ZIP 38301-905
Phone: (731) 421-6732
Fax: (731) 935-7093

The provider's authorized official is Marilyn Barnes .
The authorized official title is Regional Director and has the following contact phone number (731) 421-6700.

The enumeration date for this NPI number is 4/25/2007 and was last updated on 9/1/2010.

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:

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