Pps Infusion Pharmacy

LBN: Custom Healthcare
Pps Infusion Pharmacy is an health care organization with primary practice located at 6227 Lee Highway Suite I, Chattanooga TN 37421. The organization recently has only one registered license in Agencies / Home Infusion, which is considered as the primary health care specialty. Custom Healthcare can be contacted via phone (423) 893-9335, or through Key, Wanda S via phone (423) 697-0057.

Contact Information

Primary practice address
6227 Lee Highway Suite I Chattanooga TN 37421
Phone: (423) 893-9335
Fax: (423) 893-9336
Website:
Map and Directions
Authorized official contact:
Name: Key, Wanda S Registered Nurse (RN)
Phone: (423) 697-0057

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Infusion 251F00000X 73387 Tennessee

Profile Details

NPI number 1891868204
LBN Legal business name Custom Healthcare
DBA Doing business as Pps Infusion Pharmacy
Authorized official Key, Wanda S Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Mar 8th, 2019 - about 7 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 1891868204 NPPES
Tennessee MEDICAID 1452932

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