Anovorx Group LLC

Organization Active NPI Community/Retail Pharmacy · Memphis, TN

NPI 1992248702 · NPPES record last updated Apr 24, 2017

Key facts

NPI
1992248702
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
OS02761 (AR)
Legal business name
ANOVORX GROUP LLC
Practice address
1710 Shelby Oaks Dr N Ste 5
Memphis, TN 38134-7403
Phone
(901) 201-5470
Fax
(901) 201-5465
NPI assigned
Nov 28, 2016
Organization subpart
No

Authorized official

Name
Jon Peters
Title
President, Managing Member and Dire
Phone
(901) 201-5484

National Provider Directory

Locations

1710 Shelby Oaks Dr N
Ste 5
Memphis, TN 38134
Phone (901) 201-5470

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 2017009958 MO
Community/Retail Pharmacy 3336C0003X 5905 TN
Community/Retail Pharmacy 3336C0003X OS02761 AR Yes
Community/Retail Pharmacy 3336C0003X 15077/7.1 MS

Addresses

Primary practice location

1710 Shelby Oaks Dr N Ste 5
Memphis, TN 38134-7403

Mailing address

1710 Shelby Oaks Dr N
Suite 5
Memphis, TN 38134-7403
Phone (901) 201-5470

Other identifiers

IdentifierTypeStateIssuer
2166497OtherPK

Other names

  • AnovoRx Group, LLC Doing business as

Other providers in Memphis, TN

All providers in Memphis, TN · Community/Retail Pharmacy in Tennessee

Sources for this page

Verify at the official NPI Registry.