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NPI Code Detail

MEDICARE: TENNESSEE DEPARTMENT OF CORRECTION CENTRAL PHARMACY

MEDICARE: TENNESSEE DEPARTMENT OF CORRECTION CENTRAL PHARMACY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336L0003XLong Term Care Pharmacy5661TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15661OTHERTNTENNESSEE BOARD OF PHARMACY LICENSE

General Provider Information

NPI Number : 1598137499
Entity Type Code : Organization
Provider Name (Legal Business Name) : TENNESSEE DEPARTMENT OF CORRECTION CENTRAL PHARMACY
Provider Business Mailing Address
First Line : 7575 COCKRILL BEND BLVD BLDG 12A
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-1056
Country : US
Telephone Number : 877-342-9869
Fax Number : 877-404-1925
Provider Business Practice Location Address
First Line : 7575 COCKRILL BEND BLVD BLDG 12A
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-1056
Country : US
Telephone Number : 877-342-9869
Fax Number : 877-404-1925
Authorized Official
Title or Position : PHARMACIST IN CHARGE
Name : DR. VERNEKA LEE MURPHY
Credential : PHARMD
Telephone Number : 866-342-9869
Provider Enumeration Date : 10/30/2015
Last Update Date : 10/30/2015

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Directions to “TENNESSEE DEPARTMENT OF CORRECTION CENTRAL PHARMACY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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