Healthcare Provider Details

I. General information

NPI: 1326333063
Provider Name (Legal Business Name): ELIZABETH ANN CHAPA RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2011
Last Update Date: 02/27/2020
Certification Date: 02/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 HILLSBORO RD SUITE 305
FRANKLIN TN
37064
US

IV. Provider business mailing address

225 HEATHSTONE CIR
FRANKLIN TN
37069-4353
US

V. Phone/Fax

Practice location:
  • Phone: 615-595-8185
  • Fax: 615-790-6105
Mailing address:
  • Phone: 615-790-2667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number0000007752
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: