Healthcare Provider Details

I. General information

NPI: 1437790375
Provider Name (Legal Business Name): NASHVILLE PHARMACY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2019
Last Update Date: 10/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1925 AILOR AVE
KNOXVILLE TN
37921-5804
US

IV. Provider business mailing address

PO BOX 157
BRENTWOOD TN
37024-0157
US

V. Phone/Fax

Practice location:
  • Phone: 615-371-1210
  • Fax:
Mailing address:
  • Phone: 615-373-1210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MRS. MELISSA HOUSE
Title or Position: COMPLIANCE OFFICER
Credential:
Phone: 615-371-1210