Healthcare Provider Details

I. General information

NPI: 1356896179
Provider Name (Legal Business Name): ROSS EDWARD PHILPOT PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2016
Last Update Date: 08/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5215 LINBAR DR SUITE 210
NASHVILLE TN
37211-1031
US

IV. Provider business mailing address

5215 LINBAR DR SUITE 210
NASHVILLE TN
37211-1031
US

V. Phone/Fax

Practice location:
  • Phone: 866-395-9476
  • Fax:
Mailing address:
  • Phone: 866-395-9476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number40069
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: