Healthcare Provider Details

I. General information

NPI: 1306128673
Provider Name (Legal Business Name): LAUREN PICKERING PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2011
Last Update Date: 09/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9100 CAROTHERS PKWY
FRANKLIN TN
37067-6300
US

IV. Provider business mailing address

4210 HILLSBORO PIKE APT 205
NASHVILLE TN
37215-3443
US

V. Phone/Fax

Practice location:
  • Phone: 615-771-6446
  • Fax:
Mailing address:
  • Phone: 601-720-7501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number34439
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: