Healthcare Provider Details

I. General information

NPI: 1942666581
Provider Name (Legal Business Name): DORA BURKITT RPH,PHARMD,BCPS,BCNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2016
Last Update Date: 03/26/2024
Certification Date: 03/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 24TH AVE S
NASHVILLE TN
37212-2637
US

IV. Provider business mailing address

4704 NEVADA AVE
NASHVILLE TN
37209-3427
US

V. Phone/Fax

Practice location:
  • Phone: 615-873-7660
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number27055
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number27055
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: