MEDICARE: TENNESSEE ONCOLOGY PHARMACY DISPENSING

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
1	332900000X	Non-Pharmacy Dispensing Site	9498	TN

General Provider Information

NPI Number	:	1952607368
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENNESSEE ONCOLOGY PHARMACY DISPENSING

Provider Business Mailing Address
First Line	:	PO BOX 440553
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37244-0553
Country	:	US
Telephone Number	:	615-329-0570
Fax Number	:

Provider Business Practice Location Address
First Line	:	103 NATCHEZ PARK DR
Second Line	:	STE 103
City	:	DICKSON
State	:	TN
Zip	:	37055-9013
Country	:	US
Telephone Number	:	615-740-7025
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	WARREN W ALEXANDER
Credential	:
Telephone Number	:	615-986-4102

Provider Enumeration Date	:	02/02/2011
Last Update Date	:	09/05/2025

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