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MEDIPHARM DISCOUNT PHARMACY INC.

Suppliers Pharmacy Mail Order Pharmacy

Provider NPI: 1174077408

Organization Information:
Organization Name:  MEDIPHARM DISCOUNT PHARMACY INC.
Organization is not Subpart
Authorized Official:  ROURKE  SMITH  PRESIDENT  312-810-2200

Practice Location:
1026 N GERMANTOWN PKWY  CORDOVA, TN 38018-5892 US
Tel: 901-373-9955  Fax: 901-382-9966

Business Mailing Address:
1026 N GERMANTOWN PKWY  CORDOVA, TN 38018-5892 US
Tel: 901-373-9955  Fax: 901-382-9966

NPI Information:
NPI: 1174077408
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336M0002XSuppliers
Pharmacy
Mail Order Pharmacy
Y3336C0003XSuppliers
Pharmacy
TN4492

Other Provider Identifiers:

IssuerNumberStateType
PK216412101



American Medical Association 2012 taxonomy code information

Code: 3336C0003X

Type:

Classification:



Definition:



MEDICAL JOBS TN - Page 1

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