Healthcare Provider Details

I. General information

NPI: 1881128791
Provider Name (Legal Business Name): COLLEEN MINNETTE LEWELLYAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2017
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 MALLORY LN
FRANKLIN TN
37067-8369
US

IV. Provider business mailing address

3401 MALLORY LN
FRANKLIN TN
37067-8369
US

V. Phone/Fax

Practice location:
  • Phone: 615-695-2200
  • Fax:
Mailing address:
  • Phone: 615-695-2200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS58110
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: