Southeast Mental Health Center, Inc in Memphis - Clinic Pharmacy
Southeast Mental Health Center, Inc - NPI 1063575165
Southeast Mental Health Center, Inc is a Clinic Pharmacy in Memphis, Tennessee. Southeast Mental Health Center, Inc practices all healthcare services and medical treatments related to Clinic Pharmacy. The NPI Number for Southeast Mental Health Center, Inc is 1063575165. The last update date is 2020-08-22.
Southeast Mental Health Center, Inc's current location address is 2579 Douglass Ave, Memphis, Tennessee. You can contact this provider via phone number 9013691484 and fax number 9013127572. The mailing address for Southeast Mental Health Center, Inc is 2579 Douglass Ave, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeast Mental Health Center, Inc |
|---|---|
| Address | 2579 Douglass Ave, Memphis, Tennessee |
| Phone Number | 9013691484 |
| Fax Number | 9013127572 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Lawrence Eugene Owen |
| Credentials | MA |
| Telephone Number | 9013691420 |
NPI Number Detail
| NPI Number | 1063575165 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2579 Douglass Ave |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381142532 |
| Phone Number | 9013691484 |
| Fax Number | 9013127572 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic Pharmacy |
|---|---|
| Taxonomy | 3336C0002X |
| Licence No | 762 |
|
Definition: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 399596 | TN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Southeast Mental Health Center, Inc by the Centers for Medicare & Medicaid Services?
The Southeast Mental Health Center, Inc has been issued the NPI (National Provider Identifier) 1063575165. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Southeast Mental Health Center, Inc's facilities are situated?
The facilities of Southeast Mental Health Center, Inc are physically located at the following address: 2579 Douglass Ave, Memphis, TN, 381142532.
What is Southeast Mental Health Center, Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Southeast Mental Health Center, Inc is Clinic Pharmacy, and the taxonomy code that categorizes this field of expertise is 3336C0002X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063575165 to Southeast Mental Health Center, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1063575165 to Southeast Mental Health Center, Inc on 2006-12-19.
As of what date was the information regarding Southeast Mental Health Center, Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Southeast Mental Health Center, Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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