Provider Demographics
NPI:1669077962
Name:NEWSTART PHARMACY
Entity type:Organization
Organization Name:NEWSTART PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COBBINA KESSIE
Authorized Official - Middle Name:BENSON
Authorized Official - Last Name:ADJEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-281-5762
Mailing Address - Street 1:3081 S PERKINS RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38118-3239
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3530 HICKORY HILL RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38115-3840
Practice Address - Country:US
Practice Address - Phone:901-881-6686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty