Healthcare Provider Details

I. General information

NPI: 1194491100
Provider Name (Legal Business Name): PHARM CHICKS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2021
Last Update Date: 05/08/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

932 UNIVERSITY ST
MARTIN TN
38237-1605
US

IV. Provider business mailing address

932 UNIVERSITY ST
MARTIN TN
38237-1605
US

V. Phone/Fax

Practice location:
  • Phone: 731-587-0587
  • Fax: 731-587-3784
Mailing address:
  • Phone: 731-587-0587
  • Fax: 731-587-3784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SUZANNE PRITCHETT
Title or Position: OWNER
Credential: PHARMD
Phone: 731-225-9391