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Contact Information

GOOD SHEPHERD PHARMACY LLC
2717 B MURFREESBORO PIKE
ANTIOCH, TN37013
 Phone: 615-600-5116
 Fax: 629-202-8956
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GOOD SHEPHERD PHARMACY LLC

NPI Number 1700304839
LBN Legal business name GOOD SHEPHERD PHARMACY LLC
Authorized official MERVAT FAYEZ - (PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 09/08/2017
Last updated 02/15/2023 - About 3 years ago
Identifiers
TN License # 6058
TN Medicaid Q031899
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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