Healthcare Provider Details

I. General information

NPI: 1144557828
Provider Name (Legal Business Name): ALANA HEALTHCARE PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2009
Last Update Date: 10/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

636 DIVISION ST
NASHVILLE TN
37203-4654
US

IV. Provider business mailing address

PO BOX 1469
DICKSON TN
37056-1469
US

V. Phone/Fax

Practice location:
  • Phone: 615-375-1094
  • Fax: 877-471-2484
Mailing address:
  • Phone: 615-375-1094
  • Fax: 615-375-1132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number4701
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MAGGIE DAVIDSON
Title or Position: DIRECTOR PHARMACY OPS
Credential: RN
Phone: 615-375-1094