Provider Demographics
NPI:1972015121
Name:NASHVILLE PHARMACY SERVICES LLC
Entity Type:Organization
Organization Name:NASHVILLE PHARMACY SERVICES LLC
Other - Org Name:NPS PHARMACY AT ETSU
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-327-1210
Mailing Address - Street 1:PO BOX 157
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37024-0157
Mailing Address - Country:US
Mailing Address - Phone:615-371-1210
Mailing Address - Fax:844-769-4941
Practice Address - Street 1:615 N STATE OF FRANKLIN RD
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-8209
Practice Address - Country:US
Practice Address - Phone:423-926-2644
Practice Address - Fax:423-926-2648
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NASHVILLE PHARMACY SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-10-27
Last Update Date:2017-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN61133336C0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy