Guardian Midsouth

LBN: Guardian Pharmacy Of Tennessee Two, Llc
Guardian Midsouth is an health care organization with primary practice located at 7657 Us Highway 70 , Bartlett TN 38133-2054. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Guardian Pharmacy Of Tennessee Two, Llc can be contacted via phone (901) 800-2100, or through Brown, David via phone (931) 684-9987.

Contact Information

Primary practice address
7657 Us Highway 70 Bartlett TN 38133-2054
Fax: (855) 885-0612
Website:
Authorized official contact:
Name: Brown, David

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 0000004997 Tennessee

Profile Details

NPI number 1184983561
LBN Legal business name Guardian Pharmacy Of Tennessee Two, Llc
DBA Doing business as Guardian Midsouth
Authorized official Brown, David
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2012
Last updated Aug 15th, 2022 - about 2 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 1184983561 NPPES
Arkansas MEDICAID 201639407
Arkansas Other 2135066
Arkansas MEDICAID 1184983561
Arkansas MEDICAID 00326567

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