Healthcare Provider Details

I. General information

NPI: 1073450748
Provider Name (Legal Business Name): MONA KANAKRIEH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 SE PARKWAY STE 170
FRANKLIN TN
37064-3962
US

IV. Provider business mailing address

2715 CONGRESS DR
MURFREESBORO TN
37128-4521
US

V. Phone/Fax

Practice location:
  • Phone: 615-591-1105
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number49583
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: