Provider Demographics
NPI:1740473644
Name:SKYLINE WOMENS HEALTH ASSOCIATES PHARMACY
Entity type:Organization
Organization Name:SKYLINE WOMENS HEALTH ASSOCIATES PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:NOFFSINGER
Authorized Official - Suffix:JR
Authorized Official - Credentials:D PH
Authorized Official - Phone:615-971-9599
Mailing Address - Street 1:1210 BRIARVILLE RD
Mailing Address - Street 2:BLDG C
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-5141
Mailing Address - Country:US
Mailing Address - Phone:615-868-4682
Mailing Address - Fax:615-868-5242
Practice Address - Street 1:1210 BRIARVILLE RD
Practice Address - Street 2:BLDG C
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-5141
Practice Address - Country:US
Practice Address - Phone:615-868-4682
Practice Address - Fax:615-868-5242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-23
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN44043336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4440323OtherNCPDP