Champions Pharmacy

LBN: Champions Pharmacy
Champions Pharmacy is an health care organization with primary practice located at 2369 Elvis Presley Blvd , Memphis TN 38106-7744. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Champions Pharmacy can be contacted via phone (901) 948-6622, or through Champion, Charles via phone (901) 948-6622.

Contact Information

Primary practice address
2369 Elvis Presley Blvd Memphis TN 38106-7744
Phone: (901) 948-6622
Fax: (901) 946-2818
Website:
Map and Directions
Authorized official contact:
Name: Champion, Charles
Phone: (901) 948-6622

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 0000000293 Tennessee
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1770525586
LBN Legal business name Champions Pharmacy
DBA Doing business as
Authorized official Champion, Charles
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770525586 NPPES
Tennessee MEDICAID 4418251
Tennessee Other 4418251

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