Healthcare Provider Details

I. General information

NPI: 1093033318
Provider Name (Legal Business Name): BARFIELD DISPENSARY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2010
Last Update Date: 10/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2910 S CHURCH ST SUITE B
MURFREESBORO TN
37127-7149
US

IV. Provider business mailing address

2910 S CHURCH ST SUITE B
MURFREESBORO TN
37127-7149
US

V. Phone/Fax

Practice location:
  • Phone: 615-895-3600
  • Fax: 615-895-0024
Mailing address:
  • Phone: 615-895-3600
  • Fax: 615-895-0024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN7765
License Number StateTN

VIII. Authorized Official

Name: JACK DEMPSEY HYDRICK II
Title or Position: GENERAL PARTNER
Credential: NP
Phone: 615-895-3600