| NPI | 1780980631 |
|---|---|
| Doing Business As | MEDIPHARM SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NYANDAY OTI Administrator 901-373-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TN 4821) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 333600000X Pharmacy | |
| 3336I0012X Pharmacy, Institutional Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2011-03-16 |