Healthcare Provider Details
I. General information
NPI: 1770290827
Provider Name (Legal Business Name): PHARMNP ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/28/2022
Last Update Date: 11/02/2022
Certification Date: 11/02/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7465 POPLAR AVE STE 102
GERMANTOWN TN
38138-3887
US
IV. Provider business mailing address
767 EVANS VIEW CV
COLLIERVILLE TN
38017-1789
US
V. Phone/Fax
- Phone: 901-853-6428
- Fax: 901-853-6554
- Phone: 615-293-5842
- Fax: 901-853-6554
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0004X |
| Taxonomy | Compounding Pharmacy |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name: DR.
EMILY
YOPP
Title or Position: PHARMACIST IN CHARGE
Credential: PHARM D
Phone: 901-853-6428