Healthcare Provider Details

I. General information

NPI: 1801410808
Provider Name (Legal Business Name): MAREN RICHARDS BRINTON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MAREN RICHARDS PHARMD

II. Dates (important events)

Enumeration Date: 06/04/2020
Last Update Date: 04/29/2021
Certification Date: 04/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2723 NEW SALEM HWY
MURFREESBORO TN
37128-5253
US

IV. Provider business mailing address

2723 NEW SALEM HWY
MURFREESBORO TN
37128-5253
US

V. Phone/Fax

Practice location:
  • Phone: 615-396-6850
  • Fax:
Mailing address:
  • Phone: 615-396-6850
  • Fax: 615-396-6855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number43454
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number43454
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: