Provider Demographics
NPI:1598137499
Name:TENNESSEE DEPARTMENT OF CORRECTION CENTRAL PHARMACY
Entity Type:Organization
Organization Name:TENNESSEE DEPARTMENT OF CORRECTION CENTRAL PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:VERNEKA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:866-342-9869
Mailing Address - Street 1:7575 COCKRILL BEND BLVD BLDG 12A
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-1056
Mailing Address - Country:US
Mailing Address - Phone:877-342-9869
Mailing Address - Fax:877-404-1925
Practice Address - Street 1:7575 COCKRILL BEND BLVD BLDG 12A
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-1056
Practice Address - Country:US
Practice Address - Phone:877-342-9869
Practice Address - Fax:877-404-1925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-30
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN56613336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN5661OtherTENNESSEE BOARD OF PHARMACY LICENSE