NPI | 1598018806 |
---|---|
Doing Business As | DAR SALUD PHARMACY |
Entity Type | Organization |
Authorized Contact | ANDREA FULLER Billing And Credentialing Manager 901-922-5951 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine | |
363AM0700X Physician Assistant, Medical | |
363LF0000X Nurse Practitioner, Family | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
152W00000X Optometrist | |
207R00000X Internal Medicine | |
3336C0002X Pharmacy, Clinic Pharmacy | |
Enumeration Date | 2012-10-24 |
Last Update Date | 2020-04-06 |