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Provider Information for 1841235850


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DIALYSIS CLINIC INC

Other Names:  
Doing Business As: 
DCI PHARMACY SERVICES

Organization Subpart: NO

NPI: 1841235850
Last Updated: 2023-10-05
Certification Date: 2023-10-05

Details

NameValue
NPI1841235850
Enumeration Date2006-06-17
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: Mr. DONOVAN SCHULTZ
Title: President
Phone: 6153273061
Mailing Address 2911 FOSTER CREIGHTON DR
NASHVILLE, TN 37204-3705
United States

Phone: 615-259-2426 | Fax:615-259-2862
 
Primary Practice Address 2911 FOSTER CREIGHTON DR
NASHVILLE, TN 37204-3705
United States

Phone: 615-259-2426 | Fax:615-259-2862
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)2093259PK
MEDICAIDTN3543917
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 3336M0002X - Pharmacy - Mail Order PharmacyMT2939
No 3336M0002X - Pharmacy - Mail Order PharmacyIA3950
No 3336M0002X - Pharmacy - Mail Order PharmacyMEMO40001100
No 3336M0002X - Pharmacy - Mail Order PharmacyCTPCN0002204
No 3336M0002X - Pharmacy - Mail Order PharmacyKS22-02806
No 3336M0002X - Pharmacy - Mail Order PharmacyGAPHNR000333
No 3336M0002X - Pharmacy - Mail Order PharmacyMDP05392
No 3336M0002X - Pharmacy - Mail Order PharmacyNC10674
No 3336M0002X - Pharmacy - Mail Order PharmacyCOOSP-5916
No 3336M0002X - Pharmacy - Mail Order PharmacyKYTN1497
No 3336M0002X - Pharmacy - Mail Order PharmacyFLPH24924
No 3336M0002X - Pharmacy - Mail Order PharmacyLAOS-006427
No 3336M0002X - Pharmacy - Mail Order PharmacyIN64001119A
No 3336M0002X - Pharmacy - Mail Order PharmacyMO2010033148
Yes 3336M0002X - Pharmacy - Mail Order PharmacyAL113344