Provider Demographics
NPI:1679040281
Name:NUTRITIONAL PHARMACY SERVICES, LLC
Entity Type:Organization
Organization Name:NUTRITIONAL PHARMACY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-405-4507
Mailing Address - Street 1:PO BOX 290521
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37229-0521
Mailing Address - Country:US
Mailing Address - Phone:615-249-8099
Mailing Address - Fax:
Practice Address - Street 1:1838 ELM HILL PIKE STE 117
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37210-3726
Practice Address - Country:US
Practice Address - Phone:615-538-1212
Practice Address - Fax:615-457-3527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-01
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy