Courtney Victoria Anthony, PHARM D

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Memphis, TN

NPI 1124351036 · NPPES record last updated Sep 9, 2009

Key facts

NPI
1124351036
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
33884 (TN)
Practice address
800 Ridge Lake Blvd
Memphis, TN 38120-9427
Phone
(901) 765-4157
NPI assigned
Sep 9, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
33884TNMDCertified Registered Nurse Anesthetist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 33884 TN Yes

Addresses

Primary practice location

800 Ridge Lake Blvd
Memphis, TN 38120-9427

Mailing address

1617 Poplar Oaks Cir Apt 3
Memphis, TN 38120-4592

Other providers in Memphis, TN

All providers in Memphis, TN · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Tennessee

Sources for this page

Verify at the official NPI Registry.