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Contact Information

NUTRITIONAL SUPPORT SERVICES
145 SE PARKWAY STE 170
FRANKLIN, TN37064-3962
 Phone: 615-591-1101
 Fax: 615-435-2300
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

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 NUTRITIONAL SUPPORT SERVICES

NPI Number 1821019886
LBN Legal business name NUTRITIONAL SUPPORT SERVICES
Authorized official TERRY LEEMAN - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/22/2006
Last updated 06/21/2022 - About 4 years ago
Identifiers
AL License # 201425
KY License # TN1173
TN License # 3289
KY Medicaid 54010616
TN Medicaid 4431932
Other 2092431 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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