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General NPI Number Information
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NPI Number | 1407755887
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Entity Type | Organization
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Legal Business Name | GUARDIAN PHARMACY OF NORTHWEST TENNESSEE, LLC
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 154 MOUNT PELIA RD
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City | MARTIN
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State | TN
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Zip | 38237-3812
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Country | US
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Telephone | 731-588-5138
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Fax | 731-588-5137
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Provider Business Mailing Address
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Address Line | 154 MOUNT PELIA RD
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City | MARTIN
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State | TN
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Zip | 38237-3812
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Country | US
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Telephone | 731-588-5138
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Fax | 731-588-5137
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | ZACHARY DELANEY
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Credential |
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Telephone | 731-588-5138
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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