MEDICARE: KIERRA PRYOR PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RPH-032875	GA

General Provider Information

NPI Number	:	1003435413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIERRA PRYOR PHARM.D.

Provider Business Mailing Address
First Line	:	2611 8TH AVE S
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37204-2483
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2611 8TH AVE S
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37204-2483
Country	:	US
Telephone Number	:	678-994-3312
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2020
Last Update Date	:	06/02/2021

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Directions to “ KIERRA PRYOR PHARM.D.” Practice Location

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