Provider Demographics
NPI:1639234644
Name:SAINT THOMAS HEALTH
Entity Type:Organization
Organization Name:SAINT THOMAS HEALTH
Other - Org Name:ASCENSION RX 1201
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT PHARMACY SAINT THOMA
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:NEU
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:615-222-5898
Mailing Address - Street 1:1020 NORTH HIGHLAND AVE SUITE B
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130
Mailing Address - Country:US
Mailing Address - Phone:615-396-6167
Mailing Address - Fax:615-396-6627
Practice Address - Street 1:1020 NORTH HIGHLAND AVE SUITE B
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130
Practice Address - Country:US
Practice Address - Phone:615-396-6167
Practice Address - Fax:615-396-6627
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAINT THOMAS HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-27
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4000333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ035656Medicaid