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Contact Information

SHELBY COUNTY HEALTH CARE CORPORATION
1977 S 3RD ST
MEMPHIS, TN38109-7713
 Phone: 901-515-4646
 Fax: 901-515-4649
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SHELBY COUNTY HEALTH CARE CORPORATION

NPI # 1316428410
LBN Legal business name SHELBY COUNTY HEALTH CARE CORPORATION
Authorized official KAY RYAN - (PHARMACY DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/27/2018
Last updated 01/11/2024 - About 2 years ago
Identifiers
TN Medicaid Q045253
Other 4451186 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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