SHELBY COUNTY HEALTH CARE CORPORATION NPI 1629542493

NPI Information

SHELBY COUNTY HEALTH CARE CORPORATION is a clinic pharmacy pharmacy in Memphis, 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. SHELBY COUNTY HEALTH CARE CORPORATION NPI is 1629542493. The provider is registered as an organization entity type.
The provider Is Doing Business As Regional One Health Pharmacy Pcs Walnut Grove.

The provider's business location address is:

3109 WALNUT GROVE RD
MEMPHIS, TN
ZIP 38111-509
Phone: (901) 515-3434
Fax: (901) 515-3439

The provider's authorized official is James Richard Wagers .
The authorized official title is Evp And Cfo and has the following contact phone number (901) 545-7676.

The CLIA number assigned to this NPI record is 44D0314034 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/15/2019 and was last updated on 3/7/2023.

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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