Healthcare Provider Details

I. General information

NPI: 1942715594
Provider Name (Legal Business Name): DHS PHARMACY LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2017
Last Update Date: 07/21/2023
Certification Date: 07/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3786 CENTRAL PIKE SUITE 120
HERMITAGE TN
37076-3498
US

IV. Provider business mailing address

3876 CENTRAL PIKE SUITE 120
HERMITAGE TN
37076
US

V. Phone/Fax

Practice location:
  • Phone: 615-454-3300
  • Fax: 615-454-3305
Mailing address:
  • Phone: 615-454-3300
  • Fax: 615-454-3305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number00006115
License Number StateTN

VIII. Authorized Official

Name: DILLAN PATEL
Title or Position: OWNER
Credential:
Phone: 615-788-9470