Healthcare Provider Details

I. General information

NPI: 1285845750
Provider Name (Legal Business Name): MEMPHIS AND SHELBY COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

814 JEFFERSON AVE
MEMPHIS TN
38105-5041
US

IV. Provider business mailing address

814 JEFFERSON AVE
MEMPHIS TN
38105-5041
US

V. Phone/Fax

Practice location:
  • Phone: 901-544-7597
  • Fax: 901-544-7602
Mailing address:
  • Phone: 901-544-7597
  • Fax: 901-544-7602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number0000000157
License Number StateTN

VIII. Authorized Official

Name: HELEN G MORROW
Title or Position: ACTING HEALTH OFFICER
Credential: MD
Phone: 901-544-7600