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Contact Information

FIRST PHARMACY SERVICES OF PARK AVE INC
6005 PARK AVE STE 630B
MEMPHIS, TN38119-5226
 Phone: 901-821-8330
 Fax: 901-821-8350
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for FIRST PHARMACY SERVICES OF PARK AVE INC

NPI Number 1982855763
LBN Legal business name FIRST PHARMACY SERVICES OF PARK AVE INC
Authorized official DENISE PRATT - (PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/10/2008
Last updated 07/19/2018 - About 8 years ago
Identifiers
TN License # 4571
Other 2117378 PK
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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