MEDICARE: DR. ZACHARY LANE COX 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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	0000032989	TN

General Provider Information

NPI Number	:	1285867416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZACHARY LANE COX PHARM.D.

Provider Business Mailing Address
First Line	:	1 UNIVERSITY PARK DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37204-3956
Country	:	US
Telephone Number	:	615-966-7107
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 UNIVERSITY PARK DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37204-3956
Country	:	US
Telephone Number	:	615-966-7107
Fax Number	:

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

Provider Enumeration Date	:	09/04/2009
Last Update Date	:	09/04/2009

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