=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811286644
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALANA HEALTHCARE PHARMACY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/01/2011
-----------------------------------------------------
Last Update Date | 04/01/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 214 25TH AVE N
-----------------------------------------------------
City | NASHVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37203-1621
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-475-1094
-----------------------------------------------------
Fax | 615-375-1132
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 208 DRAGON DR
-----------------------------------------------------
City | DICKSON
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37055-3019
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-375-1094
-----------------------------------------------------
Fax | 615-375-1132
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CONTROLLER
-----------------------------------------------------
Name | MS. ELIZABETH S ZIMSKI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 615-375-1094
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336H0001X
-----------------------------------------------------
Taxonomy Name | Home Infusion Therapy Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------