Provider Demographics
NPI:1699062885
Name:GRIFFY, CHARLES ALEX (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:ALEX
Last Name:GRIFFY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8001 WINCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38125-2204
Mailing Address - Country:US
Mailing Address - Phone:901-309-1455
Mailing Address - Fax:901-309-1454
Practice Address - Street 1:8001 WINCHESTER RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38125-2204
Practice Address - Country:US
Practice Address - Phone:901-309-1455
Practice Address - Fax:901-309-1454
Is Sole Proprietor?:No
Enumeration Date:2011-07-07
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12109183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist